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A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate.

Hypospadias: The urethral opening is under the penis, instead of its tip. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4].

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Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. FSH and LH are released into the systemic circulation and exert their effect by binding to plasma membrane receptors of the target cells.

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Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. If you and your partner agree, extra embryos can be frozen and saved to use later. The lab uses this sample to measure the amount of semen and the number of sperm and to evaluate sperm shape and movement.

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Blocked ovaries can start functioning again without a clear medical explanation. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. 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. Fertility treatments have also been known to increase a woman’s chance of having twins, triplets or other multiples.Top 5 Fertility Herbs to Enhance Fertility What is Pregnancy Like After In-Vitro? Varicocele: Surgically removing a varicose vein in the scrotum may help. 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.