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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Radiation therapy: This can impair sperm production. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? Before treating cornual obstruction, the diagnosis should be confirmed. Septate uterus The hypothesis that a uterine septum can cause infertility is controversial.

Do you have a family history of medical problems? In this case, symptoms can also include: Skin changes, including more acne Changes in sex drive and desire Dark hair growth on the lips, chest, and chin Loss of hair or thinning hair Weight gain Other symptoms of disorders that may lead to infertility include: Milky white discharge from nipples unrelated to breastfeeding Pain during sex Many other things can be related to infertility in women, and their symptoms vary. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Sertoli cells also secrete inhibin, which provides negative feedback on the hypothalamus, and androgen-binding protein, which helps modulate androgen activity in the seminiferous tubules.

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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Perspectives on infertility consultations in primary care: a qualitative study. The percentage of body fat should be greater than 22% to permit regular ovulatory cycles. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980.

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Afterward, the mucus specimen is phase-microscopically examined. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. The number of days in between each period varies each month. Peritubaric adhesions can be caused by endometriosis. Additional information regarding infertility is available at . This should be followed by documentation of ovulation via serum progesterone. Bromocriptine (Parlodel): This drug inhibits prolactin production.