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Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase.

Thus it is essential to evaluate both the man and the woman. Several studies have reported different causes of infertility [7-9]. Erectile dysfunction Hormonal changes, psychological factors, or physical issues may make it difficult to get or keep an erection. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

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If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle.

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The couples are not always consciously aware that they really are not interested in having children, but their sexual behavior reflects this attitude, e.g., in having sexual intercourse only after ovulation. Additionally, multiple pregnancies cumulatively occur after ovarian stimulation.

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The only disadvantage with BBT is that in many instances, the shift does not occur in a clear way, and the patient misses the time of ovulation. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions. The pregnancy test is then performed 2 weeks after the egg retrieval. Although tubal disease was the original indication for IVF, many more indications have developed over the years.