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Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place.

Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

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Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. They may go unnoticed until a man tries to have a baby. Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics.

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The other cases are caused by a mixture of male and female problems or by unknown problems. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009.

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Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Spermiogenic defects may also be a cause of sterility. Blood test: This can assess hormone levels and whether a woman is ovulating. The increase of gonadotropins can provoke ovulation. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy.