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A low testosterone level with a low FSH level signals a secondary cause. You take gonadotropins that trigger the development of more than one egg. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. In addition, loss of peripheral visual fields bilaterally may be due to compression of the optic chiasm by the growing pituitary tumor. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix.

Old cervix disruptions or infections of the cervical canal are a possible cause. In addition to sperm immobility, patients experience sinusitis, bronchiectasis, and respiratory infections.

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Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery. Malformation of the eggs themselves may complicate conception.

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Transitions of the tube mucosa with luminal adhesions develop from recent infections of the genitalia involving the adnexa. In general, patients only notice that there is a problem once they have started trying to conceive. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Passive smoking has also been linked to lower fertility.

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Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Understanding the normal reproductive process is essential in knowing when to seek help. Surgical treatment of myomas is indicated in cases of abnormal uterine bleeding, when the myoma is implicated in recurrent miscarriages or when it is thought to interfere with embryo implantation. 0 Definition of Sterility and Infertility With regard to terminology, infertility has to be distinguished from sterility. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs.