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When the big veins heat the testes too much, the heat damages the sperm. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. In some couples who have been unable to reproduce, tests fail to find the cause of infertility.

Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Vascular injuries can result in hemorrhage that may be life-threatening.

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As a result, estrogen levels are dramatically reduced, releasing the hypothalamic-pituitary axis from its negative feedback. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors.

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Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months. After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree.

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Antibodies can abnormally attack a man's own sperm on their way to the egg. In many instances, sterility may be unexplained, but fertility treatments will be able to help. A paper published in JAVMA (Journal of the American Veterinary Medical Association) in 2005 showed that dogs spayed laparoscopically experienced significantly less pain (65%) than those that were spayed with traditional "open" methods.[8] Arthroscopy, thoracoscopy, cystoscopy are all performed in veterinary medicine today. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990.