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Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. The ICSI process takes place following a cycle during which fertility drugs are administered to the female partner to aid in the production of multiple eggs. The treatment of uterine malformations depends on the severity of the problem. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. If the epididymis is blocked, sperm may not be ejaculated properly.

Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. At least one open tube is required for IUI, and the sperm abnormality cannot be severe otherwise the sperm will not be able to swim to and fertilize the egg. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count.

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In-vitro fertilization and donor insemination are major procedures involved. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. A combination of these factors leads to infertility 20 to 30 percent of the time.

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Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. However, given that fertility in women is known to decline steadily with age, some providers evaluate and treat women aged ≥35 years after 6 months of intercourse without the use of contraception (1). Furthermore, an immunological cause in the cervical mucus is possible. Drugs, assisted reproductive technology, and surgery are common treatments.

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RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. American Urological Association Education and Research, Inc. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. The incidence of congenital malformation in IVF babies ranges between 2% and 3% worldwide and is similar to that in babies conceived naturally [45]. Bromocriptine (Parlodel): This drug inhibits prolactin production. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.