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Medical treatment is a temporary treatment, ideally used for patients who are close to menopause or who are risky surgical candidates. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. It can also help if a man has severe erectile dysfunction.

Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Other causes may include: Genetic factors: A man should have an X and Y chromosome. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Do you have a family history of medical problems?

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Reduced fecundability in women with prenatal exposure to cigarette smoking.

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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum.

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Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. The bladder must be emptied 1 hour prior to sperm collection, and a second dose of sodium bicarbonate is taken along with 16 ounces of fluid. These adverse effects were reported in older women with advanced breast cancer who were given the drugs on a daily basis over several months. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. B.: - GnRHa should not be offered with ovulation induction for risk of OHSS. - No evidence for the role of adjuvant growth hormones. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. A relationship also exists between obesity and erectile dysfunction (ED).