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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation.

IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. If a woman gets her period every 28 days, ovulation happens about 14 days after she starts her period. Medical conditions Some medical conditions can affect fertility. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009.

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Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse.

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Assisted conception The following methods are currently available for assisted conception. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Trauma Testicular trauma is the second most common acquired cause of infertility. The patency of the fallopian tubes can also be checked. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. The emotional toll on both partners can affect their relationship. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. In 1985, he constructed the pelvi-trainer = laparo-trainer, a practical surgical model whereby colleagues could practice laparoscopic techniques.