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The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Peripheral organ The hypothalamus-pituitary axis may be interrupted by hormonally active peripheral tumors or other exogenous factors, due to cortical excess, cortical deficiency, or estrogen excess. The laboratory evaluation begins with a semen analysis. Erectile dysfunction Hormonal changes, psychological factors, or physical issues may make it difficult to get or keep an erection.

Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.

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The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Whether interventions before conception or early in pregnancy, such as resection of the rudimentary horn and prophylactic cervical cerclage, decidedly improve obstetrical outcomes is uncertain; however, current practice suggests that such interventions may be helpful. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg.

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If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function.

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Understanding the normal reproductive process is essential in knowing when to seek help. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. However, many people have a regular cycle, meaning that the time between each period is roughly the same. Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. European Association of Urology guidelines on male infertility: the 2012 update. World Health Organization reference values for human semen characteristics. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. However, if you haven’t had your period in months, it might be a good idea to seek medical advice.  Heavy and/or painful periods: Periods that hamper your daily activity may be a symptom of fibroids in the uterus or endometriosis. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Transitions of the tube mucosa with luminal adhesions develop from recent infections of the genitalia involving the adnexa. World Health Organization reference values for human semen characteristics. They are very common (approximately 40% of women have them them).