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Varicocele: Surgically removing a varicose vein in the scrotum may help. Radiation treatment and/or chemotherapy for cancer. Some medications increase the risk of fertility problems in men. Semen quality Semen is initially a coagulum that liquefies in 5-25 minutes due to prostatic enzymes.

Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. These numbers are comparable to those of other industrialized nations.

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However, future pregnancy is possible with the other ovary and tube. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus. When one year of sexual relationships without birth control measures has not lead to a pregnancy. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.

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Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. Another requirement for male fertility is a normal ductal system. Perspectives on infertility consultations in primary care: a qualitative study. Passing very dark, old blood at the beginning of a period can also be a sign of endometriosis.

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Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. Ovulation usually occurs within the 32-40 hours after the indicative color change. Worldwide, 8 to 12 percent of couples experience fertility problems. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. Once the synechiae have been resected, leaving an intrauterine balloon for 7 days is advisable to prevent a recurrence of adhesions.