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The patient's electrolyte levels must be checked to consider the need for diuretics. The avascular nature of the septum is theorized to interfere with implantation and maintenance of the embryo. If the egg does not travel, it can be harder to conceive naturally. 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. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion.[11][12] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring.[12][13][14] Less pain, leading to less pain medication needed.[15][14] Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.[13][16] Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.[6] There are more indications for laparoscopic surgery in gastrointestinal emergencies as the field develops.[17] Although laparoscopy in adult age group is widely accepted, its advantages in pediatric age group is questioned.[18][19] Benefits of laparoscopy appears to recede with younger age.

If this is unsuccessful, the dosage may be increased to 100 mg daily. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it.

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37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Environmental toxins, including pesticides and lead. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

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Congenital Adrenal Hyperplasia: Occurs when the pituitary is suppressed by increased levels of adrenal androgens.  Symptoms include low sperm count, an increased number of immature sperm cells, and low sperm cell motility.  Is treated with cortisone replacement therapy.  This condition is found in only 1 percent of infertile men. Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. It is very important that these injuries be recognized as early as possible.[26] Some patients have sustained electrical burns unseen by surgeons who are working with electrodes that leak current into surrounding tissue.