Infertility
Washington State Infertility Insurance Mandate
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Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. A relationship also exists between obesity and erectile dysfunction (ED). Consulting a nutritionist, for example, could help a young woman suffering from anorexia to put on some weight, which might restart her menstrual cycle.
The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Improvement in the sperm count is a good sign, and the treatment should be continued.
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ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Check out our online medical courses and start now for free! Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place.
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Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.
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Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Exposure to chemicals: Pesticides, for example, may increase the risk. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. Happily, many couples treated for infertility go on to have babies. The rest of the time, it is because of both partners or no cause can be found. Up to 2 percent of men are thought to have suboptimal sperm. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Check out our online medical courses and start now for free!
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See also
Books for Infertility
Infertility Knowledge Questionnaire
Infertility Problems After First Child