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In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. 40 Patients using these agents should be counseled about these risks. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Determination of serum E2 and LH levels can also be performed. [203] Treatment of Primary Amenorrhea hMG is the treatment of choice for patients with primary amenorrhea due to hypopituitarism. Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. After repair, 40-70% of patients have improved semen parameters, while 40% are able to impregnate their partner without other interventions. The rest of the time, it is because of both partners or no cause can be found.

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Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Female and male factors are equally responsible for infertility. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Obesity can increase the risk for other conditions that may impact a man's fertility such as sperm quality and sexual dysfunction. Infertility treatment  Current problems with conception won’t necessarily stop you from starting a family in the future. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave.

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They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. There are four parameters analyzed: 1) semen volume – should be at least 1. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. It is more successful in women who have previously been pregnant.