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The rest of the time, it is because of both partners or no cause can be found. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity.

6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. There are many disorders that may impact the ability for a woman to ovulate normally. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network.

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Chemotherapy: Some types may significantly reduce sperm count. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. Factors effecting normal expectancy of conception. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. But the question that should be answered one day is: will the output quality be compromised with such approach?

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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. In fact, nearly 1 in 10 people struggle with infertility. There are many factors that may be causing your fertility difficulties. This test measures the ability of the sperm to penetrate a specially prepared egg from an animal, usually a hamster.

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Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Ovulation disorders appear to be the most common cause of infertility in women. In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Trauma Testicular trauma is the second most common acquired cause of infertility.