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Smoking during pregnancy increases the chance of pregnancy loss. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult.

While BBT is an inexpensive way to monitor ovulation, it is often impractical. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Men should undergo evaluation with a semen analysis. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used.

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Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. If a blockage is present, surgery may be necessary.

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Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant. A woman with a suspicion of chronic anovulation most probably due to polycystic ovary (PCO) syndrome, as there is a long history of irregular cycles and clinical presentation with hirsutism, her serum levels of testosterone hormone, sex hormone binding globulin (SHBG), dihydroepiandrostenedione (DHEA), dihydroepiandrostenedione-sulfate (DHEAS) and prolactin should be evaluated to prove the provisional diagnosis and to detect the source of excess androgens. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets.

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The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. The doctor may ask about the couple's sexual habits and make recommendations regarding these. But as it turns out, we men don't get off that easily. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. With this condition, boys are born with a different chromosomal make-up, generating an absence of spermatozoa production or minimum generation of sperm that ceases at an early age. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2.