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Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. The fertilized egg is then implanted in the uterus. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. Using this small amount of FSH, the patient generally develops 1-2 follicles, decreasing the risk for multiple pregnancy and eliminating the risk of ovarian hyperstimulation syndrome. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following.

Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Checking the woman’s fallopian tubes to make sure they are not blocked.

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The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. This indicates whether the fallopian tubes are open or blocked. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies.

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Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research.