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Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

During emission, sperm are propelled forward by peristalsis. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. The patient's electrolyte levels must be checked to consider the need for diuretics.

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The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope.

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Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. Radiation treatment and/or chemotherapy for cancer. Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. However, further testing may include: A general physical exam by a urologist.

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Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. If you’re having trouble conceiving, you are certainly not alone. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3).