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Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility. Usually, one incision is placed near the navel and a second near the pubic hairline.

22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Exposure to chemicals: Pesticides, for example, may increase the risk. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others.

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Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Treatment of the cause: 23. Ovulation disorders: The WHO classifies ovulation disorders into 3 groups: 1. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections.

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Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.

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The fertilized embryo is then transferred to womb. Most surgical treatment for endometriosis is currently performed through operative laparoscopy. [145, 146, 147] Laparotomy has been relegated to the treatment of severe disease or if a need for hysterectomy arises. [145] Medical treatment Medical treatment is directed toward suppressing estrogen production by the ovary. In many instances, more than one hysteroscopy is required for total resection. Afterward, the embryos are incubated again and then transferred to the cavum uteri of the woman. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production. You take gonadotropins that trigger the development of more than one egg. A spermiogram control study is performed after 3 cycles of therapy. Fibroids should be treated if they are associated with abnormal uterine bleeding or if they are thought to be the cause of infertility. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.