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Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Treatment of tubal obstruction generally requires referral for subspecialty care. In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count.

In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Diagnosis requires a physical examination and semen analysis What is infertility?

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Medicines are usually given to the woman first to increase the number of eggs she releases. 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. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.

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Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment.

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Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Surgery for hydrosalpinges before in-vitro fertilization treatment: Laparoscopic salpingectomy or disconnection of both tubes improve IVF/ICSI success rates. The pregnancy test is then performed 2 weeks after the egg retrieval. 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.