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Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. Endometrial polyps Endometrial polyps are growths found in the uterine cavity.

Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin. There is no reliable treatment, although microsurgery may be attempted. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. ED may be the consequence of the conversion of androgens to estradiol.

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Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Fertility: assessment and treatment for people with fertility problems. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility.

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Varicocele The veins in a man’s scrotum (sac) can become too large. ED may be the consequence of the conversion of androgens to estradiol. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010.

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Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. The fertilized egg attaches itself to the uterus (implantation) and begins to grow.  Predict your cycle with Flo! Release of GnRH is stimulated by melatonin from the pineal gland and inhibited by testosterone, inhibin, corticotropin-releasing hormone, opiates, illness, and stress. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. It's often caused by a sexually transmitted infection (STI).