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Cabergoline is associated with fewer side effects but is more expensive. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.

Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977.

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A varicocele is a varicose vein found in the scrotum. Medical manipulation with prostaglandins is usually unrewarding, and ovariectomy with histopathology is indicated. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993.

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This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Furthermore, an immunological cause in the cervical mucus is possible. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function.

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Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. The new definitions drawn up by WHO’s international committee monitoring assisted reproductive technology will be sent to every health minister for consideration next year.Sterility, also referred to as infertility, is defined as an inability to conceive a child after trying to do so for at least one year.