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These high-tech and expensive male infertility treatments give sperm an artificial boost to get into an egg. Of particular relevance amongst diseases affecting the testes are testicular infection or orchitis. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Before surgery, the HSG films and results of previous laparoscopies should be thoroughly reviewed to decide on the type of surgical technique that is required and to explain to the patient the expected degree of success and risks involved with the procedure. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant?

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. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them.

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Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%.

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Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. Careful monitoring during treatment and pregnancy can help reduce the risk of complications.

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Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. 7 million women reported impaired ability to get pregnant or carry a baby to term. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs.