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Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. Usually, you’ll still be able to maintain erections and have sex, and the quantity and appearance of your semen will also be normal.

History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Before treating cornual obstruction, the diagnosis should be confirmed.

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Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Prolactin stimulates milk production during breastfeeding. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30).

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Old cervix disruptions or infections of the cervical canal are a possible cause. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well.

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Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. A postoperative HSG should be performed 2 months later. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. A sperm count of under 15 million is considered low. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. Prolonged anestrus may be congenital or acquired. These and many other questions will help your physician design a specific evaluation and potential treatment for you. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989.