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Semen analysis The semen analysis is a very important test and should be done early in the evaluation process. Thoracentesis is rarely indicated in cases of pleural effusion. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. They are very common (approximately 40% of women have them them).

Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

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Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Theoretically, with this therapy, we can get artificial gamets in vitro. This abnormality is usually surgically corrected in infancy.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. Conversely, a young overweight woman who manages to lose weight could also relieve the problem of anovulation (losing just 5% of body mass could be enough to restart ovulation). Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. 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. If too many embryos develop, one or more can be removed.

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As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Types of Infertility There are two types of infertility: primary and secondary. It plays a central role in the multiple imbalances and dysfunctions of polycystic ovary syndrome. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Experts differ as to when genetic tests should be done. Do you have any medical problems or prior surgeries? Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility.