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The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. The likelihood of fertilization improves significantly for men with low sperm concentrations. Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. Anti-Müllerian hormone of less than or equal to 5.

Exposure to chemicals: Pesticides, for example, may increase the risk. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Online support from organizations such as Resolve can be helpful. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist.

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Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004.

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In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Trauma Testicular trauma is the second most common acquired cause of infertility.

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Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. In younger women taking them at lower doses for a short period of time, fewer adverse effects are noted. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. The application of artificial insemination usually is made after previous medicamentous treatment. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. Sperm can survive as long as 5 days in the female genital tract. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Factors effecting normal expectancy of conception.