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Your physician will refer you to a reproductive urologist if appropriate. Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin.

Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips (rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application) made general surgeons more comfortable with making the leap to laparoscopic cholecystectomies (gall bladder removal). A variety of hormonal imbalances can affect a man's fertility.

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Although tubal disease was the original indication for IVF, many more indications have developed over the years. A man’s age significantly affects coital frequency and sexual function. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. The presence of anti-sperm antibodies have been found in infertile men, and suppression of these antibodies with corticosteroid treatment has improved the semen quality and increased the rate of conception.

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If the correction is not done, it may be harder for the sperm to get to the female's cervix. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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Radiation therapy: This can impair sperm production. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Biopsy reveals maturation arrest or germ cell aplasia. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Sperm count often returns to normal after stopping the medication. View Media Gallery Uterine synechiae Uterine synechiae are corrected using operative hysteroscopy. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). In some cases this can also cause considerable pain when breathing. The chance of a multiple birth is lower with an oral fertility drug.