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Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. The patient must be treated with bromocriptine (eg, Parlodel) at an initial dose of 2. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Advising surgery in cases of primary infertility is difficult.

Couples may decide to go ahead regardless if the desire to become pregnant is very strong. Up to 2 percent of men are thought to have suboptimal sperm. Surgical treatment of myomas is indicated in cases of abnormal uterine bleeding, when the myoma is implicated in recurrent miscarriages or when it is thought to interfere with embryo implantation.

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Understanding the normal reproductive process is essential in knowing when to seek help. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. 8. Prescribed, over-the-counter and recreational drug use Occupation Tight underwear - There is an association between elevated scrotal temperature and reduced semen quality Complementary therapy: - No evidence supporting any.

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Polycystic ovarian syndrome is the most frequent indication for ovulation induction. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. The likelihood of fertilization improves significantly for men with low sperm concentrations. Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility.

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Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Primary sterility exists when the couple has never fallen pregnant and secondary sterility when the issue arises following one successful pregnancy but no further pregnancies. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. 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. The ovaries can stop working in about 5% of cases. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. For an appendectomy, the right shoulder can be particularly painful. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. 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.