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Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. Signs and Symptoms of Infertility Signs and symptoms of infertility are often related to other underlying conditions. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy.

Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Intra-uterine insemination for unexplained subfertility. Excess cortisol may be produced by adrenal hyperplasia, adenomas, carcinoma, or lung tumors. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). In vitro fertilization[edit] IVF is the most commonly used ART. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002.

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Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. Prolactin stimulates milk production during breastfeeding. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971.