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Congenital Adrenal Hyperplasia: Occurs when the pituitary is suppressed by increased levels of adrenal androgens.  Symptoms include low sperm count, an increased number of immature sperm cells, and low sperm cell motility.  Is treated with cortisone replacement therapy.  This condition is found in only 1 percent of infertile men. Men should undergo evaluation with a semen analysis. The doctor may ask about the couple's sexual habits and make recommendations regarding these. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Studies have shown that psychological issues contribute to reducing the sperm quality. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur.

Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach. Ovulation disorders appear to be the most common cause of infertility in women.

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Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. In some cases, simply removing the submucosal fibroid solves infertility. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. This can make it difficult for the embryo to implant.

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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. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technology. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. In these methods, fertilization occurs inside the body.

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Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. The likelihood of fertilization improves significantly for men with low sperm concentrations. Most recommend dosing CC on cycle days 3-7 to improve response and ovulation around cycle day 14. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.