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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. If a couple has never produced a pregnancy, it is defined as primary infertility.

This drug is administered in a pulsatile fashion every 60-120 minutes, intravenously or subcutaneously using a delivery pump. Being obese or overweight: This can increase the risk of infertility in women as well as men. Infertility treatment  Current problems with conception won’t necessarily stop you from starting a family in the future.

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Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Sometimes, female infertility is related to a hormone problem.

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An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. Thus it is essential to evaluate both the man and the woman.

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae.