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Most of infertile couples are aware of what can be offered to them from the media. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. The results of these tests help determine the best fertility treatment. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Three regions have been described, called azoospermic factors a, b, and c (AZFa, AZFb, AZFc).[24] These deletions are observed in 3-19% of patients with idiopathic infertility and 6-14% of patients with oligospermia, although up to 7% of patients with other known causes of infertility may also be found to have a deletion.

In the past, if the above methods didn’t work, it often meant lifelong male infertility. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

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Sign up for the free AFP email table of contents.Single men and women who have not found a sexual partner to have children with will be classed as “infertile,” the World Health Organization is to announce. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%).

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If stem cells remain viable after radiation therapy, patients may regain fertility within several years. Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.

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Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. The emotional toll on both partners can affect their relationship. A combination of these factors leads to infertility 20 to 30 percent of the time. 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. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. In some cases, simply removing the submucosal fibroid solves infertility. Symptoms If a couple doesn't get pregnant after a year of unprotected intercourse, both the man and woman should be evaluated. 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.