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Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Symptoms can also depend on what is causing the infertility. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.

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. As a result, infertility has come to be defined as the inability to conceive within 12 months.

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An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Sexual history – One of the purposes of obtaining a sexual history is to determine whether the partners have any sexual disturbance or dysfunction. A review of records from other fertility doctors that you have seen is also important.

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4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Assisted conception The following methods are currently available for assisted conception. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year.

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Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. Endometriosis can only be confirmed by surgery, usually laparoscopy. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Although varicoceles are present in 15% of the male population, a varicocele is considered the most common correctable cause of infertility (30-35%) and the most common cause of secondary (acquired) infertility (75-85%). The administration on GnRH should be extended throughout the luteal phase, or this should be supplemented with the administration of exogenous hCG. [202] Monitoring folliculogenesis is simpler than using hMG.