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Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure.

Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Arcuate uterus In general, an arcuate uterus does not cause infertility. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. These time intervals would seem to be reversed; this is an area where public policy trumps science. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010.

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There's a link between increased temperature of the scrotum and reduced semen quality, but it's uncertain whether wearing loose-fitting underwear improves fertility.  Testicles The testicles produce and store sperm. FSH has a lower plasma concentration and longer half-life than LH, and it has less obvious pulsatile changes. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. The avascular nature of the septum is theorized to interfere with implantation and maintenance of the embryo.

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389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Sterilisation involves blocking the fallopian tubes to make it impossible for an egg to travel to the womb.

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Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. Causes in women Infertility in women can also have a range of causes. Some authorities believe that ovulation occurs 5 days after the last dose of CC. Abnormal semen may not be able to carry the sperm effectively. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. Endometriosis may be treated through laparoscopic surgery. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. Other infectious diseases that may affect fertility include tuberculosis, toxoplasmosis, malaria, schistosomiasis and leprosy. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Its use has been extended to assisted reproduction technologies.