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It is in fact possible to restore ovulation using appropriate medication, and ovulation is successfully restored in approximately 90% of cases. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. If it stays in there, complications can develop, such as the rupture of the fallopian tube.

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. Not PPT Presentation Summary : Infertility Statistics. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Therefore, it is particularly important to evaluate both partners when investigating infertility.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Hormonal analysis reveals increased gonadotropin levels, while 60% have decreased testosterone levels. These assistance devices are not bound by the restrictions of common medical robotic systems. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.