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Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.

Being obese or overweight: This can increase the risk of infertility in women as well as men. 3 Learn more about how age can impact your fertility, and why it’s best to seek advice to conceive as early as possible. The embryo is then placed in the uterus to begin a pregnancy. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae.

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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity.

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Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. The dynamics of stress in fertile and infertile couples. Another requirement for male fertility is a normal ductal system. The increase of gonadotropins can provoke ovulation. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2. It will take time until these studies can be available for clinics and patients as a regularity.