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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. The Takeaway Around 15 to 20 percent of couples trying to conceive will have trouble with infertility.

In recent years, electronic tools have been developed to aid surgeons. The sperm is washed in a fluid and the best specimens are selected. Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles.

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It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina. Intra-uterine insemination for unexplained subfertility. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Couples will have to consider the ethical and emotional aspects of this procedure.

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It can also help if a man has severe erectile dysfunction. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research.

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Sperm count often returns to normal after stopping the medication. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release. Worldwide, 8 to 12 percent of couples experience fertility problems. The rate increases to 10-12% after CC ovulation induction and to 12-15% per cycle after hMG/hCG ovulation induction. Oligospermia is defined as fewer than 20 million sperm/mL, severe oligospermia is less than 5 million/mL, and azoospermia is defined as no sperm present.