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A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities.

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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened.

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IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Also possible is increased body mass and facial hair, which is relatively easy to treat, and is often associated with PCOS, or polycystic ovary syndrome. The patient should start monitoring the urinary LH secretion daily starting on menstrual cycle day 12.

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Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. The opening improves the ability of the embryo to implant into the uterine lining. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.