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Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors.

Careful monitoring during treatment and pregnancy can help reduce the risk of complications. The transit time varies with age and sexual activity but is usually from 1-12 days.

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Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.

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Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. The first phase develops between the second and seventh day after ovulation, and the second phase only occurs if the patient becomes pregnant. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. First-line therapy is the ultrasound-guided transvaginal puncture. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree.

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As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. If both tubes are blocked, then in vitro fertilization (IVF) is required. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery.