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A mouse study has suggested that ingredients in some household detergents may reduce fertility. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. It can also help if a man has severe erectile dysfunction.

Such tissue growth and its surgical removal can cause scarring and prevent fertilization.  Uterine and cervical causes  Problems in the uterus or cervix may also affect fertility. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. 5 mg PO qd and increased to 5 mg once tolerance is built. Medications, treatments, and drugs Some drugs can affect fertility in a woman.

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Testosterone therapy may allow patients to achieve normal height but does not improve spermatogenesis. LH mainly functions to stimulate testosterone secretion from the Leydig cells of the testicle, while FSH stimulates Sertoli cells to facilitate germ cell differentiation. 40 Patients using these agents should be counseled about these risks. Prolactin inhibits the production of GnRH from the hypothalamus and LH and FSH from the pituitary. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen.

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The facilities available and the skills of personnel are the major determining factors for the success rate. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Eating disorders such as anorexia nervosa are also associated with extremely low BMI.

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Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment. Abnormality in any of those regions may indicate abnormal sperm function and compromise the ability of sperm to fertilize the egg. The abnormalities need to be evaluated from a genetic point of view because any male offspring would inherit the same issue as the father. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment. Ovulatory periods are often accompanied by midcycle symptoms such as mittelschmerz or premenstrual symptoms. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.