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Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.

Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Is there a way to increase a couple’s chance of getting pregnant? Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).

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Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Government, the Department of Defense, or the Department of the Air Force. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods.

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Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978. If the correction is not done, it may be harder for the sperm to get to the female's cervix.

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This relatively simple test involves the man providing a semen sample for a lab to evaluate. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. It can also help if a man has severe erectile dysfunction. Age: Male fertility starts to fall after 40 years. As the duration of treatment prolonged, psychological suffering is likely to increase [6].