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Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. It's sometimes done while you're taking meds that help trigger the release of an egg. Treatment is with exogenous gonadotropins and iron-chelating therapy.

Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Obesity and increased risk for oligozoospermia and azoospermia. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy).

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Testosterone therapy may allow patients to achieve normal height but does not improve spermatogenesis. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase.

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Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. Optimizing natural fertility: a committee opinion. 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. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs).

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If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Clomiphene citrate for unexplained subfertility in women. Products include enzymes and proteases to liquefy the seminal coagulum. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Bromocriptine (Parlodel): This drug inhibits prolactin production. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. This indicates whether the fallopian tubes are open or blocked.