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PID leads to a blockage of the fallopian tubes, which prevents fertilization. Frustratingly, sometimes there may be no clear reason and you may be diagnosed with unexplained infertility. Many cases are treated with medication or may require surgical procedures. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm.

Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. The fertilized egg is then placed back into the uterus. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. As the duration of treatment prolonged, psychological suffering is likely to increase [6]. Endometriosis may be treated through laparoscopic surgery.

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The dynamics of stress in fertile and infertile couples. After a woman ovulates, her body temperature rises by as much as 0. In a third of cases, the reason lies only with the man; in another third, it is because of the woman; and in the rest of the cases, it is a combination of both, or the cause is unknown. Testicular neoplasia, commonly producing estrogen, usually causes infertility. Sperm counts can fluctuate, so that several samples may be necessary. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. Reduced hormones may result, which could potentially translate into trouble conceiving. Careful monitoring during treatment and pregnancy can help reduce the risk of complications.

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Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Sperm density Normal sperm density is greater than 20 million sperm/mL. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex.