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Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Abnormality in any of those regions may indicate abnormal sperm function and compromise the ability of sperm to fertilize the egg. In the majority of cases, there are no obvious symptoms that you may be infertile.

Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene.

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Small or firm testicles that feel "tight" may be another sign of hormone issues. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982.

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When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Malformation of the eggs themselves may complicate conception. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. About 10% of reproductive age women are affected by endometriosis.

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Thus it is essential to evaluate both the man and the woman. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Additionally, the sperm may be unable to cross the cervical mucus or may have ultrastructural abnormalities. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. These are agents that support the follicular maturation and the secretion of gonadotropins. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.