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Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. The secondary spermatocytes undergo a second meiosis and become spermatids.

Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.

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A couple should see a healthcare provider if they have not been able to become pregnant after 12 months of having sex regularly without birth control. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile. Definition “A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility” NICE guideline, CG156 Primary infertility; couple have failed to conceive before. Secondary infertility; woman has previously been pregnant regardless of the outcome of the pregnancy and now unable to conceive. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse.

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Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. As sperm move from the head to the tail, they mature and acquire fertilization capacity. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007.

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Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility. In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3]. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Many health conditions can make it hard to get pregnant. An ovarian insufficiency can also occur from the decreased release of gonadotropins. Once a diagnosis has been made, you and your partner can consider the various treatment options. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.