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Is there a way to increase a couple’s chance of getting pregnant? Treatment of tubal obstruction generally requires referral for subspecialty care. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. The results of these tests help determine the best fertility treatment.

Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. 0 It is the most common complication of assisted reproduction. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. If a cause for your fertility problems hasn't been identified, talk to your doctor about the next steps.

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Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. Those with isolated right-sided varicoceles should be evaluated for retroperitoneal pathology. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes.

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Judaism and Repoductive Technology. (PDF, 160 KB) 2003. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). Female and male factors are equally responsible for infertility.

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The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Government, the Department of Defense, or the Department of the Air Force. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. A sperm count of under 15 million is considered low. Expectant therapy Expectant therapy should be based on a complete workup with diagnosis of very early stages of the disease (minimal) in patients without clinical symptoms, ie, an incidental finding. [145] A second-look laparoscopy is required for follow-up observation within 6-18 months. Serum gonadotrophins (follicle-stimulating hormone and luteinising hormone) on Day2-3 especially in irregular periods. (N. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. This pill generally is taken from menstrual cycle days 3 – 7.