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In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs. The endometrium can be damaged from previous curettages or infections like endometritis. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

In some cases, simply removing the submucosal fibroid solves infertility. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Other causes may include: Genetic factors: A man should have an X and Y chromosome.

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Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Endometriosis can only be confirmed by surgery, usually laparoscopy. An ultrasound scan can detect an ectopic pregnancy.

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This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. The severity usually depends on how near to the testicles the radiation was aimed.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. You take gonadotropins that trigger the development of more than one egg. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Men should undergo evaluation with a semen analysis. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. In the 1980s, a pure form of FSH became available. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. However, future pregnancy is possible with the other ovary and tube. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. The dynamics of stress in fertile and infertile couples. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. To ascertain a more precise assessment, a hysteroscopy of the uterus is run.