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5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. The majority of men with varicocele present no symptoms. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003.

According to Ross, “anything that improves quality of health, like adequate sleep and nutrition,” should improve fertility. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty.

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Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis. The ideal response is one in which only 2-3 follicles develop. A penile exam should detect atrophy, tumors, epididymal cysts, cryptorchidism (undescended testicles), vas thickening or absence of the vas deferens, hydrocele (fluid accumulation in the testis or along the spermatic cord) or varicocele. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. The chance of a multiple birth is lower with an oral fertility drug.

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Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. Some methods may be used in concert with other methods. Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. A combination of these factors leads to infertility 20 to 30 percent of the time. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Some physical effects may also result from treatment. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. A treatment plan should be generated according to the diagnosis, duration of infertility, and the woman's age. Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices. For this reason, it is less likely to adversely affect the endometrium and cervical mucus. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.