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Clomiphene citrate (Clomid, Serophene) The chemical formula for clomiphene citrate (CC) is 2-[p -(2-chloro-1,2-difhenylvinyl) phenoxy] triethylamine dihydrogen citrate. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. These specimens benefit most from layering a washed pellet of sperm with nutrient media and allowing the motile fraction to swim up into the media before being separated. [109] After sperm preparation, the spermatozoa are enhanced in motility and become activated and ready to fertilize an oocyte.

Some physical effects may also result from treatment. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. In the body, testosterone circulates 2% in the free form, 44% bound to sex hormone–binding globulin (SHBG), and 54% bound to albumin. Unlike female infertility (where irregular periods may hint at a problem), obvious symptoms are not common with male infertility. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. If you suspect you are infertile, see your doctor.

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Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes.

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WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? The woman may be given a low dose of ovary stimulating hormones.

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Malformation of the eggs themselves may complicate conception. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. The more fetuses there are, the higher the risk of premature labor. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.