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Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus.

Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Vascular injuries can result in hemorrhage that may be life-threatening.

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16. Investigation of suspected tubal and uterine abnormalities: 1. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Your physician will discuss these approaches to having a baby if appropriate to your particular case. Radiation treatment and/or chemotherapy for cancer. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function.

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Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. Out of 100 couples in the United States, 12 to 13 have trouble conceiving. American Urological Association Education and Research, Inc. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Chronic conditions: These include AIDS or cancer. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.