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Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Sterilisation Some women choose to be sterilised if they don't want to have any more children.

Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Blood test: This can assess hormone levels and whether a woman is ovulating. This technique involves an injection of a single healthy sperm directly injected into mature egg. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise.

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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Surgery or embolization for varicoceles in subfertile men. Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality.

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However, if you haven’t had your period in months, it might be a good idea to seek medical advice.  Heavy and/or painful periods: Periods that hamper your daily activity may be a symptom of fibroids in the uterus or endometriosis. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43].