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41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. Tests and trials are available, but testing does not always reveal a specific cause.

Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Clomiphene citrate for unexplained subfertility in women. This may take the form of miscarriages or extrauterine pregnancies.

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Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience.

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Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. These medications may help to address male infertility caused by erectile dysfunction.

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Treatment The cost of infertility treatment is high [34]. It is important to establish whether or not the couple really wants to have a child. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. Psychic causes are possible in women just like they are in men. The patient's electrolyte levels must be checked to consider the need for diuretics. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. Treatment of tubal obstruction generally requires referral for subspecialty care. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus.