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In some cases, simply removing the polyp solves infertility. They rest on the basement membrane and serve mainly to support, nourish, and protect the developing germ cells and to provide a blood-testis barrier to provide a microenvironment that facilitates spermatogenesis and maintains the germ cells in an immunologically privileged location. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Intra-uterine insemination for male subfertility.

Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination.

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This abnormality is usually surgically corrected in infancy. National Collaborating Centre for Women's and Children's Health. Around one third of couples have difficulty conceiving due to a low sperm count. If it stays in there, complications can develop, such as the rupture of the fallopian tube. A doctor or WHNP takes a medical history and gives a physical examination. 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.

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Often, in vitro fertilization (IVF) can reveal abnormalities in egg quality, sperm function, or embryo development that would not have been determined from standard testing. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Many men with low sperm counts or abnormal semen are still fertile.

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Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Online support from organizations such as Resolve can be helpful. The ovum has a much shorter life expectancy – less than 1 day if it is not fertilized. Obesity and increased risk for oligozoospermia and azoospermia. We welcomed a sweet baby girl into the world in June this year!Background Infertility is a common clinical problem. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. The resulting sperm count (also called spermiogram) allows identifying various pathologies.