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Fertility: assessment and treatment for people with fertility problems. Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P.

Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. If it stays in there, complications can develop, such as the rupture of the fallopian tube.

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Medical conditions Some medical conditions can affect fertility. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility). However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ).

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Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures.

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Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery. Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage. Infant Source : Fertility And Family Fembryo PPT Presentation Summary : FERTILITY AND FAMILY. There are a wide array of treatments available, each targeting a different cause of infertility, and they include the following: Fertility drugs: These drugs work by stimulating the hormones responsible for the maturing and release of the egg and could help those with ovarian disorders. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.