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Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. It's sometimes done while you're taking meds that help trigger the release of an egg. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases.

These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Testosterone therapy may allow patients to achieve normal height but does not improve spermatogenesis. Many cases are treated with medication or may require surgical procedures. Additionally, because insulin-like growth factor (IGF) has been shown to have an effect on semen quality, its role in varicocele pathology has been studied.[25] One study showed that IGF levels significantly increased after a varicocelectomy to levels that were no different than fertile controls, suggesting that varicocele-related infertility may involve IGF.[26] Varicoceles lead to an increased incidence of sperm immaturity, apoptosis, and necrosis with severe disturbances in meiotic segregation compared to fertile men without varicoceles, and these parameters generally improve after repair.

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The average pregnancy rate achieved after a natural-cycle intrauterine insemination is 8%. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980.

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When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature.

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Ovulation disorders can be treated with ovulation-inducing drugs. There are several requirements for male fertility. Hypospadias: The urethral opening is under the penis, instead of its tip. Tests and trials are available, but testing does not always reveal a specific cause. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. After fertilization, implantation may then take place in the uterus. ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases.