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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation.

Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Alternatively, the patient may bypass surgical treatment and proceed directly to intrauterine insemination or in vitro fertilization, depending on the severity and the female partner's age. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). These are agents that support the follicular maturation and the secretion of gonadotropins. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Wie bei Oath zeigen Ihnen unsere Partner eventuell auch Werbung, von der sie annehmen, dass sie Ihren Interessen entspricht.

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Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Passive smoking has also been linked to lower fertility. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Additional information regarding infertility is available at .

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Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. The recourse for these specimens is to remove the seminal fluid by successive media washes. Diagnosis requires a physical examination and semen analysis What is infertility? Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. The Avon Longitudinal Study of Pregnancy and Childhood Study Team.