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Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. 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. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Prolactin inhibits the production of GnRH from the hypothalamus and LH and FSH from the pituitary. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

After ruling out female infertility concerns, tests for male infertility may be needed. The severity usually depends on how near to the testicles the radiation was aimed. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other.

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Understanding the normal reproductive process is essential in knowing when to seek help. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. The cause of sterility can also be found in the tubes.

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Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Obesity and increased risk for oligozoospermia and azoospermia. Fertility awareness can help women and couples become more familiar with the signs of ovulation and menstrual cycle patterns.

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A postoperative HSG should be performed 2 months later. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Malformation of the eggs themselves may complicate conception. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis. For example, for a woman who ovulates sporadically, the quality of her partner's ejaculate and the frequency of love-making can worsen or improve her prognosis. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained.