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Problems maintaining erection A man’s ability to maintain an erection is often linked to his hormone levels. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome).

Abnormal semen may not be able to carry the sperm effectively. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. This should be followed by documentation of ovulation via serum progesterone.

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Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. Maternal age Infertility due to age is one of the most common causes of female infertility. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg.

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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. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease. 9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.

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During this time, the cells cross from the basal to the adluminal compartments. A doctor or WHNP takes a medical history and gives a physical examination. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby. But anything within a few days of that can be considered normal, as long as those cycles are consistent. More than 60% of sperm should be normal, and less than 2-3% should be immature. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. 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. Also, parotitis o mumps associated with male infertility when it happens during adolescence. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.