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Pain during sex Some women have experienced painful sex their entire lives, so they’ve convinced themselves it’s normal. Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12].

The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Arcuate uterus In general, an arcuate uterus does not cause infertility. The severity usually depends on how near to the testicles the radiation was aimed. The couples are not always consciously aware that they really are not interested in having children, but their sexual behavior reflects this attitude, e.g., in having sexual intercourse only after ovulation. A sperm analysis can be done to check a man's sperm count and the overall health of the sperm.Meredith collects data to deliver the best content, services, and personalized digital ads. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women.

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Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. On the seventh day, E2 measurement and ultrasonography are performed. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.

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Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Ovulation test kits or monitors are available at pharmacies and can help a woman determine her fertile time.   SOURCES How common is male infertility, and what are its causes? Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production.

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A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Macroscopic deletions of Yq11 are often observed in patients with azoospermia, although many new microdeletions have been implicated as a significant cause of infertility. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. 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. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation. The feelings experienced by the infertile couples include depression, grief, guilt, shame, and inadequacy with social isolation.