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Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991.

Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs.

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The final third may be due to a combination of both, other factors, or unknown causes. However, further testing may include: A general physical exam by a urologist. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. The most common cause of male infertility is varicoceles. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices.

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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Not getting pregnant The primary sign of infertility is not getting pregnant after trying for a certain length of time. Nowadays, given the huge emotional impact caused by pregnancy loss, in those cases where two pregnancy losses have taken place, an analysis and treatment is advised. As the duration of treatment prolonged, psychological suffering is likely to increase [6]. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility).

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Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. Antisperm antibody test Sperm contain unique antigens that are not recognized as self by the body's immune system because of the blood-testis barrier. Primary sterility means that a pregnancy has never occurred. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. 5 percent of infertile men and may be controlled by medications like decongestants which contract the bladder sphincter or surgical reconstruction of the bladder neck can restore normal ejaculation. This measurement is called the antral follicle count and may correlate with fertility potential. Of azoospermic patients with Klinefelter syndrome, 20% show the presence of residual foci of spermatogenesis. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now).