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If they're damaged, it can seriously affect the quality of your semen. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Radiation treatment and/or chemotherapy for cancer.

Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result.

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Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. However, until approximately age 64, a man’s age does not affect sperm or the ability to fertilize eggs.

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For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. Most surgical treatment for endometriosis is currently performed through operative laparoscopy. [145, 146, 147] Laparotomy has been relegated to the treatment of severe disease or if a need for hysterectomy arises. [145] Medical treatment Medical treatment is directed toward suppressing estrogen production by the ovary.

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In some women, and especially with age, the membrane becomes harder. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. The cervical mucus changes consistency during the ovulatory cycle, being most hospitable and easily penetrated at mid cycle. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. Many cases are treated with medication or may require surgical procedures. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. 9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995.