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Amenorrhea (absence of menstruation) occurs in about 20% of women with ovulatory dysfunction. It's sometimes done while you're taking meds that help trigger the release of an egg. Symptoms of hormone fluctuations Signs of hormone fluctuations in women could indicate potential issues with fertility. Urinary monitoring of the LH surge (eg, with an LH Predictor Kit) can be a substitute for BBT.

They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Sperm can survive as long as 5 days in the female genital tract. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Sperm were inserted into the oocyte (bar = 100 µm). (B) Marmoset blastocysts produced by ICSI. (bar = 100 µm).

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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Reduced hormones may result, which could potentially translate into trouble conceiving.

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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. If a cause for your fertility problems hasn't been identified, talk to your doctor about the next steps. The average incidence of infertility is about 15%. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.