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Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. Transrectal ultrasonography (TRUS) may reveal enlarged seminal vesicles, but this is not universal. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg.

ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. A sperm count of under 15 million is considered low. Learn what factors can influence your fertility and whether to consider seeking medical help.

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Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation. Malformation of the eggs themselves may complicate conception. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.

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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant.

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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. National Collaborating Centre for Women's and Children's Health. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease. The impact of small or single polyps is more controversial. Chemotherapy Chemotherapy is toxic to actively dividing cells. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Prozac and other SSRIs, Propecia).  Luckily, many treatment options exist for ED depending on the cause--these will be discussed in the treatment section. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. In patients with low gonadotropins and low estrogen, the treatment of choice is hMG, and the protocol is similar to that for patients with primary amenorrhea. There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity.