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Source : Medications Used With Infertility Treatment PPT Presentation Summary : Medications Used with Infertility Treatment. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). However, further testing may include: A general physical exam by a urologist. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity.

2 or more - sperm concentration: 15 million spermatozoa per ml or more - total sperm number: 39 million spermatozoa per ejaculate or more - total motility: 40% or more motile or 32% or more with progressive motility - vitality: 58% or more live spermatozoa - sperm morphology (percentage of normal forms): 4% or more Basic Work-up for Infertility 13. Evidence of ovulation: 1. Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. Peritubaric adhesions can be caused by endometriosis. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. The woman may be given a low dose of ovary stimulating hormones. The urine specimen must be centrifuged immediately.

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As a result, estrogen levels are dramatically reduced, releasing the hypothalamic-pituitary axis from its negative feedback. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe.

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Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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Excess alcohol consumption: This may lower male fertility. So, if you’re finding it difficult to have a baby, you’re not alone. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. This sterile needle is attached to sterile suction tubing and a collecting vial. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. The facilities available and the skills of personnel are the major determining factors for the success rate. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. For hysterosalpingography, water-soluble contrast material is supplied into the cavum uteri. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16]. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility).