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The elevation in the temperature is indicative of ovulation. The extra heat caused by the vein can lead to low sperm count and impaired sperm movement. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other.

It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. Medical conditions Some medical conditions can affect fertility. Treatment of Cervical Factors Chronic cervicitis may be treated with antibiotics. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter.

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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. The dynamics of stress in fertile and infertile couples. The feelings experienced by the infertile couples include depression, grief, guilt, shame, and inadequacy with social isolation.

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Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause.

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There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. 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. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation.