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Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.

The dynamics of stress in fertile and infertile couples. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility.

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For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Adding recombinant human FSH to HCG has been shown to be effective in achieving spermatogenesis in most patients.[18] Select patients with adult-onset idiopathic hypogonadotropic hypogonadism may respond to clomiphene citrate therapy.[19] Prader-Willi syndrome Patients have characteristic obesity, mental retardation, small hands and feet, and hypogonadotropic hypogonadism due to a GnRH deficiency. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001.

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According to the Office on Women's Health, about a third of issues with infertility comes from women, and another third starts with men. This technique involves an injection of a single healthy sperm directly injected into mature egg. After fertilization, implantation may then take place in the uterus.

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Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. The initial dose is 500 mg PO qd for 7 days, then 500 mg bid for another 7 days, and, finally, 500 mg tid. Gonadotropin-releasing hormone Synthetic GnRH (gonadorelin) has a chemical composition similar to native GnRH and is indicated for patients with hypothalamic dysfunction, especially those who do not respond to CC. [200, 201] Although quite effective, it is not available in the United States due to lack of use and low demand. Continued First, sperm are collected either from ejaculated semen or by a needle from the testicle. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound.