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The eggs may never be released or they may only be released in some cycles. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner.

If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Abnormality in any of those regions may indicate abnormal sperm function and compromise the ability of sperm to fertilize the egg. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Smoking during pregnancy increases the chance of pregnancy loss.

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Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. They can often recommend a counselor and others who can offer appropriate support.

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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. Prolactin inhibits the production of GnRH from the hypothalamus and LH and FSH from the pituitary. 0 To assess the causative factors of sterility in a man, a semen analysis is performed.

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Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. National Collaborating Centre for Women's and Children's Health. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.