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Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. 16. Investigation of suspected tubal and uterine abnormalities: 1. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. The most common cause of male infertility is varicoceles. Worldwide, 8 to 12 percent of couples experience fertility problems.

In-vitro fertilization and donor insemination are major procedures involved. Use of clomiphene citrate in infertile women: a committee opinion.

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In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult.

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3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. A review of records from other fertility doctors that you have seen is also important.

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Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. Malformation of the eggs themselves may complicate conception. Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Infertility FAQs Male Infertility Best Practice Policy Committee of the American Urological Association & Practice Committee of the American Society of Reproductive Medicine. (2006). Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Endometriosis may be treated through laparoscopic surgery. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal.