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Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. To accomplish this, the literature was searched for the keywords of "Management of infertility, infertile couples" at library website of University of Bristol (MetaLib) by using a cross-search of different medical databases such as ...

Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. Additional tests to determine sterility include blood tests, an ultrasound of the ovaries, hysterosalpingography to check for physical problems of the uterus and fallopian tubes. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Asthenozoospermia refers to reduced sperm motility. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Undescended testicle may be isolated or may be observed as part of a syndrome such as prune belly syndrome.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. You take gonadotropins that trigger the development of more than one egg. The opening improves the ability of the embryo to implant into the uterine lining. 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.

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ED may be the consequence of the conversion of androgens to estradiol. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. You can find much more information about your privacy choices in our privacy policy.

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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. A vasectomy can be reversed, but reversals aren't usually successful. This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase.