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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure.

As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.

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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. 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. Ductal blockage, as a result of an infection or congenital abnormality, may occur in the ducts that carry sperm from the testicles to the penis.

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A history and physical examination can help direct the evaluation. The main symptom of infertility is not getting pregnant. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation.

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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). Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Malformations are the primary organic causes of sterility. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Surprisingly, the complete absence of sperm in the semen (a condition known as azoospermia), can be a good thing. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. These are agents that support the follicular maturation and the secretion of gonadotropins. Like many people facing infertility, I was heartbroken by the news.


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