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If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. The problem is getting the sperm where they need to go. In a recent meta-analysis, letrozole was found to be as effective as other methods of ovulation induction. [169] The usual dose for letrozole ovulation induction is 2. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.

PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. The fertilized egg attaches itself to the uterus (implantation) and begins to grow.  Predict your cycle with Flo!

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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. Management of the infertile couple: an evidence-based protocol. An ovarian insufficiency can also occur from the decreased release of gonadotropins.

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The most commonly prescribed injections that stimulate the ovary are called gonadotropins. If you suspect you are infertile, see your doctor. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. Author disclosure: No relevant financial affiliations. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. Risk factors for male infertility include obesity, age (over 40 -- yes, men also have biological clocks), current or previous infection of an STD, smoking, or excessive drinking. Practice Committee of the American Society for Reproductive Medicine. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids.