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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. One of the common causes of infertility is infrequent intercourse. Anatomic causes of infertility include acquired and congenital problems.

Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. The lab uses this sample to measure the amount of semen and the number of sperm and to evaluate sperm shape and movement.

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Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. These medicines are listed below: sulfasalazine – an anti-inflammatory medicine used to treat conditions such as Crohn's disease and rheumatoid arthritis; sulfasalazine can decrease the number of sperm, but its effects are temporary and your sperm count should return to normal when you stop taking it anabolic steroids – are often used illegally to build muscle and improve athletic performance; long-term abuse of anabolic steroids can reduce sperm count and sperm mobility chemotherapy – medicines used in chemotherapy can sometimes severely reduce sperm production herbal remedies – some herbal remedies, such as root extracts of the Chinese herb Tripterygium wilfordii, can affect the production of sperm or reduce the size of your testicles Illegal drugs, such as marijuana and cocaine, can also affect semen quality.

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Similarly, there is no need for testing tubal patency for couples who will require IVF or ICSI procedure. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. The stimulation of follicular maturation is continued with HMG or FSH. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide. Furthermore, an immunological cause in the cervical mucus is possible. Ovulation induction is somewhat different from controlled ovarian hyperstimulation, which involves the use of some of the same medications to stimulate the development of multiple mature follicles and eggs in order to increase pregnancy rates with various infertility treatments. While orchitis develops a few days after the onset of parotid gland inflammation, it may also precede it. The dye outlines the cavity of the uterus and spills out of the fallopian tubes. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.