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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. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Prolactin stimulates milk production during breastfeeding. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.

Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Effect of male age on fertility: evidence for the decline in male fertility with increasing age.

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8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Symptoms can also depend on what is causing the infertility.

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Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse.

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Prolactin stimulates milk production during breastfeeding. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. The Human Fertilization and Embryology Authority, HFEA website.Summary Infertility means not being able to become pregnant after a year of trying. The substances are preferentially used at the beginning of the cycle. The chance of a multiple birth is lower with an oral fertility drug. 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. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. In-vitro fertilization and donor insemination are major procedures involved.