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Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. 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. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Some medications increase the risk of fertility problems in men.

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The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place. Polycystic ovary syndrome causes infrequent periods or a total absence of them and is the most common cause of anovulation (an absence of ovulation). Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.

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One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications. To examine the sperm motility in the cervical mucus, the postcoital test is made. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. If the tubes are blocked, the sperm cannot travel into and out of the penis making it impossible for the sperm to ever meet with and fertilize an egg. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

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Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. Talk to your doctor if you experience the following: skin issues reduced sex drive facial hair growth thinning hair weight gain 5. ARTs have made conception possible even for men with very low or abnormal sperm. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. This is obviously extremely distressing for the couples involved. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2. Patients with azoospermia or severe oligospermia are more likely to have a chromosomal abnormality (10-15%) than infertile men with sperm density within the reference range (1%).