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Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Medical conditions Some medical conditions can affect fertility. Those who prefer surgery first argue that because the size of endometriosis decreases, lesions that cannot be observed during surgery may be present; therefore, the operation is less than ideal and is associated with an increased chance for early recurrence. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count.

More than 60% of sperm should be normal, and less than 2-3% should be immature. Blood work to check hormone levels, usually of FSH and testosterone, but sometimes also LH, estradiol, or prolactin. Obesity and increased risk for oligozoospermia and azoospermia. Because of the action at the estrogen-receptor level within the hypothalamus, CC alleviates the negative feedback effect exerted by endogenous estrogens. [161, 162, 163] As a result, CC normalizes the GnRH release; therefore, the secretion of FSH and LH is capable of normalized follicular recruitment, selection, and development to reestablish the normal process of ovulation. [161, 164] The standard dose of CC is 50 mg PO qd for 5 days, starting on the menstrual cycle day 3-5 or after progestin-induced bleeding. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility.

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The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. If the woman reaches the age of 40 during treatment, complete the current full cycle but do not offer further full cycles. In women aged 40–42 years who have not conceived after 2 years of regular unprotected intercourse or 12 cycles of artificial insemination (where 6 or more are by intrauterine insemination), offer 1 full cycle of IVF, with or without ICSI.

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Some physical effects may also result from treatment. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Ovulation disorders appear to be the most common cause of infertility in women. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971.

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Age: Male fertility starts to fall after 40 years. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. The emotional toll on both partners can affect their relationship. Primary sterility means that a pregnancy has never occurred. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. The main symptom of infertility is not getting pregnant.