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The patient must be treated with bromocriptine (eg, Parlodel) at an initial dose of 2. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation.

Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. The hypophysis is blocked and insensitive to the body’s own GnRH. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity.

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Management of the infertile couple: an evidence-based protocol. The chance of a multiple birth is lower with an oral fertility drug. Intra-uterine insemination for male subfertility. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. It stimulates the ovaries to mature egg follicles. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine).

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Treatment of the cause: 23. Ovulation disorders: The WHO classifies ovulation disorders into 3 groups: 1. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Patients with a high number of immature sperm should be evaluated for excessive exposure to heat or radiation or for infectious processes. The mature oocytes are put onto a special culture medium and stored in the incubator. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. A mouse study has suggested that ingredients in some household detergents may reduce fertility. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010.


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