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Hypospadias affects about 1 in every 500 newborn boys. 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.

Management of the infertile couple: an evidence-based protocol. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure.

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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. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. The anamnesis includes sexual behavior concerning ovulation here.

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Radiopaque dye is instilled into the uterine cavity through the cervix and x-rays are taken. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms.

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The chance of a multiple birth is lower with an oral fertility drug. Low weight: Obesity is not the only way in which weight can impact fertility. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). One reported method to induce estrus in cats is FSH at 2 mg/cat, IM, once daily until signs of estrus appear (not administered for >5 days). Gonadotropins can trigger ovulation when Clomid or Serophene don't work. 40 Patients using these agents should be counseled about these risks.