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A history and physical examination can help direct the evaluation. It will take time until these studies can be available for clinics and patients as a regularity. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory.

Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates.

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Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Gonadotrophins for idiopathic male factor subfertility. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. Around one third of couples have difficulty conceiving due to a low sperm count.

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The resulting sperm count (also called spermiogram) allows identifying various pathologies. Some physical effects may also result from treatment.

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The dye outlines the cavity of the uterus and spills out of the fallopian tubes. Furthermore, myomas in the uterus lead to occlusions of the lumen and so cause sterility. Come and meet us to find out more about how we can help you. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Fibroids that distort the uterine cavity have an impact on the ability of an embryo to implant and should be removed surgically. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place.