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ART techniques generally start with stimulating the ovaries to increase egg production. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. This should be followed by documentation of ovulation via serum progesterone. A history and physical examination can help direct the evaluation. Some medications increase the risk of fertility problems in men. It was broken down into male and female categories.

It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. 6 million (6%) married women aged 15–44 years in the United States reported difficulty getting pregnant (3). The patient must be treated with bromocriptine (eg, Parlodel) at an initial dose of 2.

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Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%.

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This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred.

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CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Since the gallbladder is similar to a small balloon that stores and releases bile, it can usually be removed from the abdomen by suctioning out the bile and then removing the deflated gallbladder through the 1 cm incision at the patient's navel. Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40]. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Sperm counts can fluctuate, so that several samples may be necessary. Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both.


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See also
Infertility System Definition
Infertility or Sterility
Fertility and Infertility in Hindi