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Not being able to father a child can make a guy feel like he’s failing at one of his most primal responsibilities. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.

If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Fertility: assessment and treatment for people with fertility problems.

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8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Many health conditions can make it hard to get pregnant. The sperm is washed in a fluid and the best specimens are selected.

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For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family. Up to 25% of infertile men have idiopathic infertility. It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization.

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For conception to take place, several events should happen correctly and at exactly the right time. The chance of a multiple birth is lower with an oral fertility drug. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. El Uso de las Espermátides en la Azoospermia. (PDF, 12 MB) Chapter 42 from Reproducción Humana, 2002. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following.