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Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

Malformation of the eggs themselves may complicate conception. Men should undergo evaluation with a semen analysis. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997.

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Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. World Health Organization reference values for human semen characteristics. The entire process of development from spermatogonium to spermatid takes 74 days and is described in 14 steps; as they mature, the developing spermatids progress closer to the lumen of the seminiferous tubule. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary.

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Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide.

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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Improvement in the sperm count is a good sign, and the treatment should be continued. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. Government, the Department of Defense, or the Department of the Air Force. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. 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. These include: age smoking tobacco or marijuana drinking alcohol history of sexually transmitted infections stress poor diet When to see a doctor Anyone experiencing signs of infertility and who has been trying to conceive for more than a year (or 6 months if older than 35 years of age) may want to speak to a doctor for a thorough diagnosis. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles. Negative tests with immotile sperm in the cervical mucus suggest rare immunological causes of sterility. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.