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Seminal vesicle aspiration revealing numerous sperm or a dynamic test such as injection of indigo carmine into the seminal vesicle or ejaculatory duct may be necessary for diagnosis.[31] Ejaculation issues Anejaculation/retrograde ejaculation may be due to an open bladder neck or a lack of rhythmic contractions during ejaculation.Causes of Infertility A problem in any one of a number of key processes can result in infertility. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3).

A history of sexually transmitted infections could be another cause of infertility in either partner. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss.

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Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. You take gonadotropins that trigger the development of more than one egg.

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Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.

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Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Many health conditions can make it hard to get pregnant. A diagnosis of male infertility can be one of the hardest challenges a man can face. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. Surgical management: - Surgical correction of epididymal block in obstructive azoospermia. - No evidence for surgical treatment of varicocele in infertility. (remains an area of debate) 3. Review Questions The answers can be found below the references. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy. Cervical surgery can sometimes cause scarring or shortening of the cervix. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. The likelihood of fertilization improves significantly for men with low sperm concentrations. Some women have bilateral tubal occlusion, which is when both tubes are blocked.