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Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. Online support from organizations such as Resolve can be helpful. The relation between daily activities and scrotal temperature.

After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information. The eggs may never be released or they may only be released in some cycles. Fertility awareness can help women and couples become more familiar with the signs of ovulation and menstrual cycle patterns. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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In the majority of cases, there are no obvious symptoms that you may be infertile. Drugs, assisted reproductive technology, and surgery are common treatments. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.

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Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Small or firm testicles that feel "tight" may be another sign of hormone issues. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant?

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Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple.