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Ovulation disorders appear to be the most common cause of infertility in women. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Retrograde Ejaculation: Is a condition in which semen is ejaculated into the bladder rather than out through the urethra because the bladder sphincter does not close during ejaculation.  If this disorder is present, ejaculate volume is small and urine may be cloudy after ejaculation.  This condition affects 1. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions.

8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. To assist in the luteal phase, the patient is given beta-HCG or progesterone.

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Hormonal abnormalities can sometimes be treated with medicine or surgery. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Men with elevated prolactin levels present with gynecomastia, diminished libido, erectile dysfunction, and occasionally galactorrhea. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid.

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This technique involves an injection of a single healthy sperm directly injected into mature egg. If they are blocked, it indicates the site of the block. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Studies have shown that psychological issues contribute to reducing the sperm quality. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones.

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Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. It may also prevent the sperm from reaching the egg. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). The follicles are suctioned and microscopically examined afterward.