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9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. Chronic conditions: These include AIDS or cancer. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. This prevents the sperm from fertilizing the egg. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009.

These medications may help to address male infertility caused by erectile dysfunction. Some causes, such as hyperprolactinemia, are reversible with proper treatment.

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Eating disorders such as anorexia nervosa are also associated with extremely low BMI. This procedure is performed in the outpatient setting. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics.

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Through this technique, your physician can diagnose abnormalities such as fibroids or polyps within the uterine cavity, and via narrow instruments that run through the hysterosope, can remove or correct the great majority of these abnormalities. In the past, if the above methods didn’t work, it often meant lifelong male infertility. In-vitro fertilization and donor insemination are major procedures involved. It is better for a couple to see the doctor together. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.

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Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Primary sterility exists when the couple has never fallen pregnant and secondary sterility when the issue arises following one successful pregnancy but no further pregnancies. Patients may have a normal palpable vas deferens bilaterally but show decreased ejaculate volume and hemospermia and may experience pain upon ejaculation. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Fertility: assessment and treatment for people with fertility problems.