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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.

Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins.

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43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets.

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This drug is administered in a pulsatile fashion every 60-120 minutes, intravenously or subcutaneously using a delivery pump. Spermiogenic defects may also be a cause of sterility. Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. In another third of cases, it is because of the man. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions. Retrograde Ejaculation: Is a condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.  If this disorder is present, ejaculate volume is small and urine may be cloudy after ejaculation.  This condition affects 1.