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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. World Health Organization reference values for human semen characteristics. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma.

After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. These time intervals would seem to be reversed; this is an area where public policy trumps science. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months.

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Passive smoking has also been linked to lower fertility. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. They’ll recommend some simple fertility tests, more information about which can be found here. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Understanding male infertility: Sex Ed 101 To better understand infertility, here's a refresher course on the birds and the bees. (Anyone caught giggling will have to stay after class.) Sperm are made in the testicles.

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Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Fertility Evaluation: General and Gynecological Examination For women, a visual evaluation of hair distribution and of body and breast development can indicate endocrinopathy or various development deficiencies. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Causes in men The following are common causes of infertility in men.

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Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. 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. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. First-line therapy is the ultrasound-guided transvaginal puncture. Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. A detailed history and physical examination is necessary for both partners. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele.