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Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. It works in the following way: Clomiphene is an anti-estrogen. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. In general, patients only notice that there is a problem once they have started trying to conceive.

Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel.

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Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). Unfortunately, there are some forms of male infertility that are not treatable. The patient's electrolyte levels must be checked to consider the need for diuretics. They may go unnoticed until a man tries to have a baby. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. 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.

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Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination.

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Other causes may include: Genetic factors: A man should have an X and Y chromosome. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Exposure to chemicals: Pesticides, for example, may increase the risk. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. This abnormality is usually surgically corrected in infancy. Uterine fibroids Fibroids are noncancerous growths in the uterus. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.