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The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999.

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. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). But the question that should be answered one day is: will the output quality be compromised with such approach? Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually.

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In addition, infertility is considered also a public problem. Many health conditions can make it hard to get pregnant.

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4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus.

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Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. The first phase develops between the second and seventh day after ovulation, and the second phase only occurs if the patient becomes pregnant. More than 15-20% bound is considered a positive test result. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.