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Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Other risk factors for infertility Other risk factors may also contribute to infertility in both men and women.

Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come.

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Ovulation disorders appear to be the most common cause of infertility in women. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Antisperm antibody test Sperm contain unique antigens that are not recognized as self by the body's immune system because of the blood-testis barrier. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000.

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40. Luteal phase support: - Should be offer luteal phase support with progesterone till 8 weeks of gestation. - Different form of progesterone with different routes of administration are available, RCT are taking place comparing efficacy of different forms. Generally, success rates lie between 40% and 60% per cycle. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men.

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Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. European Association of Urology guidelines on male infertility: the 2012 update. If abundant good sperm are found in the testicle, there's likely a blockage somewhere. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. World Health Organization reference values for human semen characteristics.