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Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Many health conditions can make it hard to get pregnant. The ideal response is one in which only 2-3 follicles develop. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg.

Couples may decide to go ahead regardless if the desire to become pregnant is very strong. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). 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. Effectiveness of the postcoital test: randomised controlled trial. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm.

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9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach.

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However, medical treatment can be used to reduce the myoma size prior to removal. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.

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The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Government, the Department of Defense, or the Department of the Air Force. The bladder must be emptied 1 hour prior to sperm collection, and a second dose of sodium bicarbonate is taken along with 16 ounces of fluid.