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A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. CC has been in clinical use since the early 1960s. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997.

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Many health conditions can make it hard to get pregnant. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection.

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Have you had any sexually transmitted infections or abnormal pap smears? Like many people facing infertility, I was heartbroken by the news. Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components.

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The ovaries can stop working in about 5% of cases. Prolactinomas or the intakes of dopamine antagonists (typical antipsychotics for example) cause hyperprolactinemia. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. It causes a blood stasis that raises the temperature of the scrotum. 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. American Urological Association Education and Research, Inc. A mouse study has suggested that ingredients in some household detergents may reduce fertility.