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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. No difference in the pregnancy rate occurs if a skillful microsurgeon or laparoscopist performs the salpingostomy. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment.

Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. Allied and Complementary Medicine Database (AMED), ... Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. In vitro fertilization[edit] IVF is the most commonly used ART. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E.

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A variety of hormonal imbalances can affect a man's fertility. This is called luteinised unruptured follicle syndrome (LUFS). Of adults with who are infected with mumps, 25% develop orchitis; two thirds of cases are unilateral, and one third are bilateral.

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43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. For the past 20 years, hMG and its derivatives have been the first choice for controlled ovarian hyperstimulation in assisted reproductive technologies. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis.

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About a third of the time, infertility can be traced to the woman. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. This technique involves an injection of a single healthy sperm directly injected into mature egg. Patients present with oligospermia but have LH levels within the reference range. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Infertility is caused by primary testicular failure, and most patients are azoospermic. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse.