Infertility

Unexplained Female Infertility

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Cryptorchidism An estimated 3% of full-term males are born with an undescended testicle, but fewer than 1% remain undescended by age 1 year. Thus, an intravenous pyelogram must be performed once this diagnosis is made.

Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. Erectile dysfunction, vaginismus (painful involuntary spasm of vagina preventing intercourse) and dyspareunia (pain during sexual intercourse) can explain involuntary childlessness in some couples. 30% of women face reproduction issues at this age because ovarian reserve decreases, there are fewer eggs and they are of an inferior quality.

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Infertility Physical Examination

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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. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. During the first two years after menarche 50% of the menstrual cycles could be anovulatories. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg.

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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. Other causes may include: Genetic factors: A man should have an X and Y chromosome. This technique is called hand-assist laparoscopy. After tracking my period for a couple of months the app seemed pretty on track and worked just as I was hoping. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.

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With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. In cases of poor sperm quality, intrauterine insemination can be performed. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. In some women, and especially with age, the membrane becomes harder. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. It can also help if a man has severe erectile dysfunction.


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