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Seminal vesicle aspiration revealing numerous sperm or a dynamic test such as injection of indigo carmine into the seminal vesicle or ejaculatory duct may be necessary for diagnosis.[31] Ejaculation issues Anejaculation/retrograde ejaculation may be due to an open bladder neck or a lack of rhythmic contractions during ejaculation.Causes of Infertility A problem in any one of a number of key processes can result in infertility. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions.

Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities. Men should undergo evaluation with a semen analysis.

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Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. Diagnostic evaluation of the infertile female: a committee opinion.

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Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time. Those who prefer surgery first argue that because the size of endometriosis decreases, lesions that cannot be observed during surgery may be present; therefore, the operation is less than ideal and is associated with an increased chance for early recurrence. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

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41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Female and male factors are equally responsible for infertility. Some women have bilateral tubal occlusion, which is when both tubes are blocked. Infectious, anatomic, metabolic, and functional problems associated with infertility are seen less frequently. (Also see Infertility.) The only confirmed infectious cause of infertility in the bitch is brucellosis (see Brucellosis in Dogs). Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. Ovulation of the egg occurs approximately 2 weeks before the start of the next period. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.