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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. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count.

Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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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. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? The most commonly prescribed injections that stimulate the ovary are called gonadotropins. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Additionally, multiple pregnancies cumulatively occur after ovarian stimulation.

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Several studies indicate that in some cases, a simple change in lifestyle could help patients suffering from anovulation. American Urological Association Education and Research, Inc. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.

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In younger women taking them at lower doses for a short period of time, fewer adverse effects are noted. This highly contagious disease caused by Brucella canis results in abortion and infertility in bitches and infertility in males. Bromocriptine (Parlodel): This drug inhibits prolactin production. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. The dynamics of stress in fertile and infertile couples. The only known risk factor for Klinefelter syndrome is advanced maternal age. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Normal fertility is observed in three fourths of patients with unilateral mumps orchitis and in one third of patients in bilateral orchitis.