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Additional tests to determine sterility include blood tests, an ultrasound of the ovaries, hysterosalpingography to check for physical problems of the uterus and fallopian tubes. Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. Endometriosis can only be confirmed by surgery, usually laparoscopy.

We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. It involves removing eggs from the ovary of a donor who has taken fertility drugs. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks.

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This relatively simple test involves the man providing a semen sample for a lab to evaluate. As soon as it reaches a specific size, the administration of beta-HCG takes place. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study.

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3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Some medications increase the risk of fertility problems in men. Genetic karyotyping, if a recurrent miscarriage is a problem.

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American Urological Association Education and Research, Inc. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. With this condition, boys are born with a different chromosomal make-up, generating an absence of spermatozoa production or minimum generation of sperm that ceases at an early age. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. 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. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus.


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Infertility Powerpoint Presentations
Infertility Rates in the United States
Female Infertility in Ovary