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In most cases, only 1 follicle is recruited and develops until ovulation. Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. Bromocriptine (Parlodel): This drug inhibits prolactin production.

8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Anatomic causes of infertility include acquired and congenital problems. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility.

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Oligozoospermia refers to a low sperm count under 20 million per milliliter. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. The four types of third party reproduction are 1) sperm donation – a process by which donated sperm is used for insemination in the uterus, or for fertilization of eggs in the IVF process; 2) egg or ovum donation – a process by which an egg donor undergoes an IVF cycle in order to obtain her eggs which are then donated and fertilized.

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Chemotherapy: Some chemotherapy drugs can result in ovarian failure. For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. It also tests for a luteal phase defect (inadequate level of progesterone). Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.

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Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. The procedure is performed 30-34 hours after the spontaneous LH surge or 36 hours after the administration of 10,000 U of hCG (human chorionic gonadotropin). [110] The sperm is delivered into the endometrial cavity using an intrauterine insemination catheter. Up to 25% of infertile men have idiopathic infertility. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used.