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Causes of Sterility in Men Image: “Colorized sperm sample under the light microscope” by Bobjgalindo. Excess alcohol consumption: This may lower male fertility. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994.

Other factors, such as luteal phase defect or production of anti-sperm antibodies. However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Infertility is the inability of a person, animal or plant to reproduce by natural means. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.

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With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Normal uterine implantation can therefore not occur. An ovarian insufficiency can also occur from the decreased release of gonadotropins. However, it could be the future for the treatment of multiple diseases, including infertility.

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Low weight: Obesity is not the only way in which weight can impact fertility. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Because of the risk of thrombosis, heparin (5000 U SC q12h) is recommended. [195] Some have had success treating severe ovarian hyperstimulation syndrome on an outpatient basis by performing aggressive transvaginal paracentesis with good outcomes. [199] hMG and its derivatives are indicated for ovulation induction in patients with primary amenorrhea due to hypopituitarism and in patients with secondary amenorrhea who did not respond to CC ovulation induction.

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Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Exercise: Both too much and too little exercise can lead to fertility problems. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Many health conditions can make it hard to get pregnant. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. For some women, these devices do not detect the LH surge, or high levels of LH are a poor predictor of ovulation; this is particularly common in women with PCOS. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. In general, patients only notice that there is a problem once they have started trying to conceive. Lack of pregnancy Lack of pregnancy can be related to disruption of the cervical mucus, inadequate follicular development, presence of luteinized unruptured follicle syndrome, progesterone deficiency, and premature administration of hCG to trigger ovulation.