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National Collaborating Centre for Women's and Children's Health. Medicines and drugs Certain types of medicines can sometimes cause infertility problems. Some couples experience pressure from society, parents and family, who expect that they wish to have children. It's sometimes done while you're taking meds that help trigger the release of an egg. Up to 2 percent of men are thought to have suboptimal sperm.

Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Practice Committee of the American Society for Reproductive Medicine. Intra-uterine insemination for unexplained subfertility. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. If the egg does not travel, it can be harder to conceive naturally. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

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Come and meet us to find out more about how we can help you. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Chemotherapy: Some types may significantly reduce sperm count. Varicocele: Surgically removing a varicose vein in the scrotum may help. In addition, infertility is considered also a public problem. Medications, treatments, and drugs Some drugs can affect fertility in a woman.

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The laboratory evaluation begins with a semen analysis. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Laparotomy with histopathology is usually indicated, because medical attempts at inducing ovulation (human chorionic gonadotropin, FSH, GnRH) are usually unrewarding.

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389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. It will take time until these studies can be available for clinics and patients as a regularity. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Gonadotropin-releasing hormone (GnRH) from the hypothalamus stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.