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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus.

Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. The dye outlines the cavity of the uterus and spills out of the fallopian tubes. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect.

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They may go unnoticed until a man tries to have a baby. Some medications increase the risk of fertility problems in men. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility.

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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. It is important to tell a doctor if excessive mental and emotional stress develop. Some authorities believe that ovulation occurs 5 days after the last dose of CC. Treatment of tubal obstruction generally requires referral for subspecialty care. The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

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A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus. The woman may be given a low dose of ovary stimulating hormones. Pelvic inflammatory disease Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, which includes the womb, fallopian tubes and ovaries. If it stays in there, complications can develop, such as the rupture of the fallopian tube. It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). No difference in the pregnancy rate occurs if a skillful microsurgeon or laparoscopist performs the salpingostomy. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996.