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Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Abnormalities of the uterus like the uterus bicornis, uterus septa or hypoplasia of the uterus less frequently result in contraceptional barriers but can cause miscarriages. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility.

Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation.

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Low weight: Obesity is not the only way in which weight can impact fertility. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P.

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Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.

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If ovulation does not occur with the 50-mg dose, the CC dose must be increased in subsequent cycles to 100 mg for 5 days. If this is unsuccessful, the dosage may be increased to 100 mg daily. About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus. Similarly, bilateral obstruction of the sperm ducts can cause azoospermia and infertility. In such cases, the vas deferens connecting the testicle and prostate is not formed. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Endometriosis may be treated through laparoscopic surgery.