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Sperm production problems One of the most common causes of male infertility is problems with sperm production. Diagnostic evaluation of the infertile female: a committee opinion. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role.

A thorough physical exam can detect varicocele and give clues to hormone problems. In many cases, there are tests that can help find the cause(s) of male infertility. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Effectiveness of the postcoital test: randomised controlled trial. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms.

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Perspectives on infertility consultations in primary care: a qualitative study. On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. Hysterosalpingo-contrast-ultrasonography - TVS scan during which air and saline or a solution of D-galactose is infused into the uterine cavity and observed to flow along the fallopian tubes. - Requires more expertise. - Less invasive.

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Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. It was broken down into male and female categories. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries.

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50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. Hypospadias affects about 1 in every 500 newborn boys. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.