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These medications may help to address male infertility caused by erectile dysfunction. A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic.

Consequently, amenorrhea, an anovulatory cycle, and corpus luteum deficiency can develop. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Donor semen should be free from any STI-producing organisms, including HIV.

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Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. In patients with obstructive azoospermia and normal gonadotropin levels, sperm can be obtained through microsurgical epididymal sperm aspiration or testicular biopsy. [213] Fertilization of the oocytes is performed using IVF/intracytoplasmic sperm injection. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.

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The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates.

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The couple should make sure to have sex during the three days before ovulation. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. A man’s age significantly affects coital frequency and sexual function. Transvaginal or abdominal paracentesis should be performed if the patient becomes uncomfortable. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. National Collaborating Centre for Women's and Children's Health. If the response is exaggerated, with more than 5 sizable follicles (18 mm in diameter), and the E2 level is greater than 2500 pc/mL, cancelling the ovulation is better to avoid the risk of ovarian hyperstimulation syndrome and a high order of multiple pregnancy.