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Infertility

- - - - gold standard
      - primary infertility
    - - secondary infertility
- - - - adhesions
  - - - congenital or acquired disease of the hypothalamus or the pituitary
        
        azoospermia
    - - cryptorchidism
      - genetic abnormalities
        
        Y chromosome deletion
        
        kleinfelter syndrome
      - cytotoxic drugs
      - infection
        
        mumps
      - varicose veins
      - high temperature
    - - erectile dysfunction
      - retrograde ejaculation
      - obstruction
        
        sterilization
      - infection
        
        epididymitis
- - - - TESA
      - PESA
    - - intrauterine
      - intracervical
  - - - PCOS
        
        clomiphene (1st line)
        
        letrozole (1st line)
        
        metformin
        
        laparoscopic ovarian drilling (2nd line)
        
        recombinant FSH (2nd line)
      - hyperprolactinaemia
        
        dopamine agonists
        
        cabergoline
  - - - natural cycle
      - mild stimulation
      - transfer
- - - - reproductive
      - sexual
        
        STI
        
        frequency
      - medical
      - surgical
    - - outcomes
      - intervals
    - - menstrual history
      - symptoms of androgen excess
    - - semen analysis result
      - history of impotence
      - premature ejaculation
      - change in libido
      - history of testicular trauma
  - - - genital examination
    - - VE
      - bimanual examination
- - - - no previous pregnancies
    - - have been able to get pregnant at least once