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A postoperative HSG should be performed 2 months later. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Clomiphene citrate and/or Metformin. - folliculometry via TVUSS should be done to avoid multiple pregnancies and risk of OHSS. - Not for more than 6 months.

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Excess iron from multiple transfusions may get deposited in the pituitary gland and the testis, causing parenchymal damage and both pituitary and testicular insufficiency. Corticosteroids (usually found in anti-inflammatory drugs) can be used to treat anovulation if it is caused by an overproduction of male hormones by the adrenal glands.

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Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery.

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Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. 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. Old cervix disruptions or infections of the cervical canal are a possible cause. Chronic conditions: These include AIDS or cancer. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Passing very dark, old blood at the beginning of a period can also be a sign of endometriosis. The World Health Organization (WHO) published reference ranges for semen testing in 2010. [45] These include “lower reference limits” representing the 5th percentiles for semen characteristics. [46] Note that the lower reference limits do not serve as a cut-point between “fertile” and “infertile.” Volume Normal ejaculate volume is 1.