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A history and physical examination can help direct the evaluation. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. Sometimes, female infertility is related to a hormone problem. This technique involves an injection of a single healthy sperm directly injected into mature egg. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix.

Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988.

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Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. Hypogonadism Hypogonadism is an abnormally low level of testosterone, the male sex hormone involved in making sperm. The woman may be given a low dose of ovary stimulating hormones. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. 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 ...

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Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. A decreased testosterone level with an increased FSH level points to primary hypogonadism. Optimizing natural fertility: a committee opinion. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. Sherban and his staff are the most amazing, compassionate, and supportive people. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. Up to 2 percent of men are thought to have suboptimal sperm. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year.