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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. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy.

Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels.

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Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Consequently, amenorrhea, an anovulatory cycle, and corpus luteum deficiency can develop. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Infertility in women Infertility is most commonly caused by problems with ovulation, the monthly release of an egg. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable).

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The incidence varies in different populations, in some areas approaching 40%. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Some methods may be used in concert with other methods. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility. Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus.