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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance.

Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage.

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Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.

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When one year of sexual relationships without birth control measures has not lead to a pregnancy. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy.

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Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010. In addition to functioning as a conduit, the vas also has absorptive and secretory properties. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. A 3 to 5 days long sexual abstention is absolutely necessary for this. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity.