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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. The results of these tests help determine the best fertility treatment.

Transvaginal or abdominal paracentesis should be performed if the patient becomes uncomfortable. Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus.

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Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. Gonadotrophins for idiopathic male factor subfertility. Tests and trials are available, but testing does not always reveal a specific cause. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Advising surgery in cases of primary infertility is difficult.

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Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile.

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While chromosomal failure is usually caused by abnormalities of the sex chromosomes, autosomal disorders are also observed. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. A diagnosis of male infertility can be one of the hardest challenges a man can face. If a severe sperm defect is discovered, the testing on the female partner should be modified, and therapy can be immediately directed to the sperm problem. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. The quality of the cervical mucus can be improved with the administration of a small dose of estrogens, or the problem can be bypassed by intrauterine insemination. [163, 209] If the follicle is smaller than 23-24 mm at the time of ovulation, a better size can be obtained by starting the CC therapy on the menstrual cycle day 2. It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Injuries to the bowel can cause a delayed peritonitis. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. As an antiestrogen, CC requires that the patient have some circulating estrogen levels; otherwise, the patient will not respond to the treatment.