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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. It has not been shown to improve patient outcomes but, rather, is helpful for research purposes. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse.

Intra-uterine insemination for unexplained subfertility. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.

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Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Hormonal abnormalities can sometimes be treated with medicine or surgery. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

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Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Other conditions that affect the quality and quantity of sperm include: Primary testicular failure. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Polycystic ovarian syndrome is the most frequent indication for ovulation induction. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

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The principal indications for CC use are oligomenorrhea, especially polycystic ovarian syndrome (PCOS), and for patients with slight menstrual irregularities. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Medications in use for this effect are mainly clomifene citrate and tamoxifen (both being selective estrogen-receptor modulators), as well as letrozole (an aromatase inhibitor.[17] Follicle-stimulating hormone (FSH), directly stimulating the ovaries. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. 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. This procedure is performed in the doctor’s office without anesthesia. There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. It involves removing eggs from the ovary of a donor who has taken fertility drugs.