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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. In some women, and especially with age, the membrane becomes harder. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.

Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum.

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The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases. 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. Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40]. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). It is better for a couple to see the doctor together.

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Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). 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. If the epididymis is blocked, sperm may not be ejaculated properly. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count.

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Treatment of the cause: 30. Unexplained infertility: - Ovarian stimulation should not be considered as does not improve pregnancy or birth rates. - Advise to try to conceive for two years of unprotected sexual intercourse before other options. - After two years of failure to conceive, consider IVF/ICSI. Symptoms depend on what is causing the infertility. Improvement in the sperm count is a good sign, and the treatment should be continued. It stimulates the ovaries to mature egg follicles. Out of 100 couples in the United States, 12 to 13 have trouble conceiving. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Many couples with infertility issues go on to have successful pregnancies. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.