Infertility

Introduction to Infertility

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Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. The endometrium can be damaged from previous curettages or infections like endometritis. Blood test: This can assess hormone levels and whether a woman is ovulating. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation.

Estrous cycle abnormalities can cause infertility. The treatment of uterine malformations depends on the severity of the problem. Tubal obstruction and lysis of adhesions can be corrected through laparotomy, operative laparoscopy, and, in special circumstances, through operative hysteroscopy and tubal cannulation.

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Possible Reasons for Infertility in a Female

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The administration on GnRH should be extended throughout the luteal phase, or this should be supplemented with the administration of exogenous hCG. [202] Monitoring folliculogenesis is simpler than using hMG. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. In addition to sperm immobility, patients experience sinusitis, bronchiectasis, and respiratory infections. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained.

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Is there a way to increase a couple’s chance of getting pregnant? Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization.

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Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Paternal age > or = 40 years: an important risk factor for infertility. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982.


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