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Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. This situation can be related to the presence of other endocrine disorders such as hyperprolactinemia, congenital adrenal hyperplasia, adrenal tumors, Cushing syndrome, thyroid dysfunction, and extreme obesity. Females[edit] The following causes of infertility may only be found in females. The woman may be given a low dose of ovary stimulating hormones. This may be because the ovaries do not contain eggs. Aromatase inhibitors are available for clinical use and FDA approved for treatment of postmenopausal breast cancer, but not for ovulation induction.

Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques.

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Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. A history and physical examination can help direct the evaluation. However, many people have a regular cycle, meaning that the time between each period is roughly the same. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Fertility treatments for men Treatment will depend on the underlying cause of the infertility.

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While chromosomal failure is usually caused by abnormalities of the sex chromosomes, autosomal disorders are also observed. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. The relation between daily activities and scrotal temperature. Not being able to father a child can make a guy feel like he’s failing at one of his most primal responsibilities. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Choose a single article, issue, or full-access subscription. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. This should be followed by documentation of ovulation via serum progesterone. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. There are four parameters analyzed: 1) semen volume – should be at least 1. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Antibodies can abnormally attack a man's own sperm on their way to the egg. Polyps and submucous fibroids can be removed during this procedure.


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