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A varicocele is a varicose vein found in the scrotum. Corticosteroids are usually used to reduce the production of testosterone.

Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs.

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Other factors, such as luteal phase defect or production of anti-sperm antibodies. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. 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. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. 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.

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Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result.

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Treatment of tubal obstruction generally requires referral for subspecialty care. This indicates whether the fallopian tubes are open or blocked. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. Erectile dysfunction Hormonal changes, psychological factors, or physical issues may make it difficult to get or keep an erection. Endometrial polyps Endometrial polyps are removed through operative hysteroscopy associated with a dilatation and curettage, if necessary. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. The increase of gonadotropins can provoke ovulation. If the tubes are blocked, the sperm cannot travel into and out of the penis making it impossible for the sperm to ever meet with and fertilize an egg. Patients with a high number of immature sperm should be evaluated for excessive exposure to heat or radiation or for infectious processes. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Normal uterine implantation can therefore not occur.