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Even if you are diagnosed with infertility, you may still be able to conceive.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. Treatment of Cervical Factors Chronic cervicitis may be treated with antibiotics. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility.

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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. A combination of these factors leads to infertility 20 to 30 percent of the time. Many cases are treated with medication or may require surgical procedures.

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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic.

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The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Signs of Potential Infertility in Men Infertility symptoms in men can be vague. Surgery or embolization for varicoceles in subfertile men. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. In another 30% of all cases, the cause is in the male partner. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. Hormonal Problems A small percentage of male infertility is caused by hormonal problems.  The hypothalamus-pituitary endocrine system regulates the chain of hormonal events that enables testes to produce and effectively disseminate sperm.  Several things can go wrong with the hypothalamus-pituitary endocrine system: · The brain can fail to release gonadotrophic-releasing hormone (GnRH) properly.  GnRH stimulates   the hormonal pathway that causes testosterone synthesis and sperm production.  A disruption in   GnRH release leads to a lack of testosterone and a cessation in sperm production. · The pituitary can fail to produce enough lutenizing hormone (LH) and follicle stimulating hormone   (FSH) to stimulate the testes and testosterone/sperm production.  LH and FSH are intermediates   in the hormonal pathway responsible for testosterone and sperm production. · The testes� Leydig cells may not produce testosterone in response to LH stimulation. · A male may produce other hormones and chemical compounds which interfere with the   sex-hormone balance. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility).