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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). However, future pregnancy is possible with the other ovary and tube.

It is more successful in women who have previously been pregnant. In-vitro fertilization (IVF.)Sperm are mixed with multiple eggs collected from the woman in a “test tube” (actually just a plastic dish.). In 1978, the first baby was born as a result of IVF. They’ll recommend some simple fertility tests, more information about which can be found here. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men.

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Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994.

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Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. High cortisol levels may also be seen with exogenous steroid use, such as that administered to patients with ulcerative colitis, asthma, arthritis, or organ transplant. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary).

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The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. As a result, infertility has come to be defined as the inability to conceive within 12 months. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Some women have bilateral tubal occlusion, which is when both tubes are blocked.