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The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. Frustratingly, sometimes there may be no clear reason and you may be diagnosed with unexplained infertility. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ).

Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Evaluation of the Female Partner: Other Tests Other tests to evaluate a woman’s fertility include: Hysterosalpinogram (HSG).

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549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus.

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Estrogen causes negative feedback on the pituitary gland, inhibiting LH and FSH release. The Takeaway Around 15 to 20 percent of couples trying to conceive will have trouble with infertility. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. A relationship also exists between obesity and erectile dysfunction (ED). The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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Similarly, bilateral obstruction of the sperm ducts can cause azoospermia and infertility. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Antibodies can abnormally attack a man's own sperm on their way to the egg. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. The hypothalamus also produces thyrotropin-releasing hormone (TRH) and vasoactive intestinal peptide (VIP), both of which stimulate prolactin release from the anterior pituitary, and dopamine, which inhibits prolactin release. Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. An obstruction can occur anywhere in the plumbing between the testicles and the penis. This prevents the sperm from fertilizing the egg.


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