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Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Prolactinomas or the intakes of dopamine antagonists (typical antipsychotics for example) cause hyperprolactinemia. Histology reveals seminiferous tubules lined by Sertoli cells and a normal interstitium, although no germ cells are present. Diagnostic evaluation of the infertile female: a committee opinion. A couple which is unable to conceive is not the same as a couple which often conceives without difficulties but which then sadly finds that the pregnancy does not go full term.

Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). They rest on the basement membrane and serve mainly to support, nourish, and protect the developing germ cells and to provide a blood-testis barrier to provide a microenvironment that facilitates spermatogenesis and maintains the germ cells in an immunologically privileged location. Sign up for the free AFP email table of contents.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. You can find much more information about your privacy choices in our privacy policy.

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Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation.

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Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. 40 Patients using these agents should be counseled about these risks.

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A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. The couple should make sure to have sex during the three days before ovulation. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. It is often prescribed for Crohn's disease or rheumatoid arthritis. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.