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Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. The results of these tests help determine the best fertility treatment. 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.

Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. The laboratory evaluation begins with a semen analysis. There are four parameters analyzed: 1) semen volume – should be at least 1. Author disclosure: No relevant financial affiliations.

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0 To assess the causative factors of sterility in a man, a semen analysis is performed. The prostate also secretes zinc, phospholipids, phosphatase, and spermine.

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The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. The relation between daily activities and scrotal temperature. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. However, a complete blockage of the ovaries is rarely a cause of infertility. A treatment plan should be generated according to the diagnosis, duration of infertility, and the woman's age. The typical indication is the oligoasthenoteratozoospermia here.