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Although obesity is well known to be associated with insulin resistance, women with PCOS are even more resistant to insulin than other patients who are obese. A low testosterone level with a low FSH level signals a secondary cause.

Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. However, for women with moderate to severe endometriosis, surgical treatment then assisted reproductive therapy can be offered. Varicocele: Surgically removing a varicose vein in the scrotum may help.

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Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy.

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Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

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Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. The cause of sterility can also be found in the tubes. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. Hypospadias affects about 1 in every 500 newborn boys. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. But as it turns out, we men don't get off that easily. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation).