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Some medications increase the risk of fertility problems in men. Just before those eggs would otherwise be ovulated, they are retrieved under mild anesthesia in an operating room. Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. 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. If this becomes a regular occurrence, it may interfere with sexual intercourse or be a sign of an underlying issue. This abnormality is usually surgically corrected in infancy.

Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Women are advised not to use the drug for more than one day. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis. Prolactin stimulates milk production during breastfeeding. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. 9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility.

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Androgen receptor dysfunction Because the androgen receptor is essential for the process of spermatogenesis, dysfunctions in this receptor can cause infertility. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. However, future pregnancy is possible with the other ovary and tube. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases.