Infertility

Treatment Strategy for Unexplained Infertility and Recurrent Miscarriage

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Ovulation induction and intrauterine insemination are used after completion of the treatment in hopes of expediting the establishment of a pregnancy before relapse of the disease. [39, 157, 158] Treatment of Ovarian Factors Ovulation induction is the appropriate treatment for infertile patients who have dysfunction of the hypothalamic-pituitary-ovarian axis. Infertility is due to hypogonadotropic hypogonadism. 0 This concept is a form of artificial insemination.

There are other hormonal anomalies with no direct link to the ones mentioned above that can affect ovulation. In my case, the inability to conceive was the result of a condition called stage 4 endometriosis. These may cause abortion, neonatal death, fetal resorption, and apparent infertility. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. To have a successful reanastomosis, the final tube should measure at least 4.

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If you and your partner agree, extra embryos can be frozen and saved to use later. Optimizing natural fertility: a committee opinion. This applies to the ability to conceive with her eggs, but not with donor eggs. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection.

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Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Treatment of the cause: 26. Ovulation disorders: (Hyperprolactinaemic amenorrhoea) - Women with ovulatory disorders due to hyperprolactinaemia should be offered treatment with dopamine agonists such as bromocriptine. - Consideration should be given to safety for use in pregnancy and minimising cost when prescribing.

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Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. In these methods, fertilization occurs inside the body. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. 4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. A combination of these factors leads to infertility 20 to 30 percent of the time. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. This is called luteinised unruptured follicle syndrome (LUFS).


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Prevalence of Infertility in India 2017