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40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. For example, for a woman who ovulates sporadically, the quality of her partner's ejaculate and the frequency of love-making can worsen or improve her prognosis. Being obese or overweight: This can increase the risk of infertility in women as well as men.

If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. Septate uterus The hypothesis that a uterine septum can cause infertility is controversial.

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Endometriosis can only be confirmed by surgery, usually laparoscopy. This technique should be reserved for myomas with a diameter less than 6 cm. [123] Several cases have been reported of uterine rupture during pregnancy because the reconstruction of the uterus after laparoscopic myomectomy was not as good as a myomectomy performed using laparotomy. [124] Operative hysteroscopy: The removal of a submucous fibroid using hysteroscopy should be limited to small fibroids (≤3 cm) with minimal compromise of the myometrium. [81] This is important to decrease the risk of excessive bleeding and to decrease the risk of electrolyte imbalance, water intoxication, and pulmonary edema from excessive intravasation of Hyskon, glycine, or sorbitol used during the procedure. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Primary sterility means that a pregnancy has never occurred. Most of the time, basic semen analysis is all that's needed to diagnose male infertility. In-vitro fertilization and donor insemination are major procedures involved. Understanding what’s causing your fertility difficulties can help you find out what treatment is right for you and your partner.Fertility What is Normal Fertility and When Does it Become Infertility? Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia.

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Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation. A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. Patients with this type of uterus can have a normal term pregnancy. Other factors, such as luteal phase defect or production of anti-sperm antibodies. In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier) can be introduced by the surgeon into the abdomen through trocars (hollow tubes with a seal to keep the CO 2 from leaking). Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.