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For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. Patients with adrenal hyperplasia and other disorders must be treated with prednisone. The initial result of the procedure is not detected before 3 months because spermatogenesis takes 72 days. Effect of male age on fertility: evidence for the decline in male fertility with increasing age.

This procedure is performed in the outpatient setting. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

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Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Some medications increase the risk of fertility problems in men. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection.

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Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Excess alcohol consumption: This may lower male fertility. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. Ovulation disorders appear to be the most common cause of infertility in women. It plays a central role in the multiple imbalances and dysfunctions of polycystic ovary syndrome. Laparoscopy with hydrotubation - if the clinical situation suggests this is required . It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL.