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Clinical Asst Professor, Obstetrics and Gynecology. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Use of clomiphene citrate in infertile women: a committee opinion. Female and male factors are equally responsible for infertility. Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

A decreased testosterone level with an increased FSH level points to primary hypogonadism. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2.

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Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails.

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Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.

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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Exposure to chemicals: Pesticides, for example, may increase the risk. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. An evaluation by a physician is the only way to sort it out. Factors effecting normal expectancy of conception. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility.