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Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). Overweight or obesity: This may reduce the chance of conceiving. The results of these tests help determine the best fertility treatment.

Associated conditions[edit] For most women, alteration of menstrual periods is the principal indication of chronic anovulation. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973.

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Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Semen analysis – The semen analysis is the main test to evaluate the male partner.

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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. It can be done with a patient’s sperm, if possible.

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Factors like stress or heavy workouts can cause your period to temporarily disappear. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.