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Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Causes of Sterility in Women In women, the classification of possible causes is much more complex. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001.

The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. It is often prescribed for Crohn's disease or rheumatoid arthritis. 2012;27(8):2396–2404.   Want to use this article elsewhere? In addition to a careful history, a physical evaluation may also be performed. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.

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It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. This pill generally is taken from menstrual cycle days 3 – 7. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant.

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Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Kennel or cattery management should allow for breeding males to remain cool during the summer. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Drugs, assisted reproductive technology, and surgery are common treatments. Sperm density Normal sperm density is greater than 20 million sperm/mL. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function. Intra-uterine insemination for male subfertility. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.