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This can happen as a result of: an infection of your testicles testicular cancer testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children. It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable). The vast majority of anovulation patients belong to the WHO2 group and demonstrate very heterogeneous symptoms ranging from anovulation, obesity, biochemical or clinical hyperandrogenism and insulin resistance.[14] Treatments[edit] Anovulation can potentially be reversed by lifestyle changes.[15] Lifestyle changes[edit] In women with polycystic ovary syndrome with anovulation, weight loss generally results in improved menstrual regularity, ovulation, and pregnancy rates.[16] In otherwise healthy women with anovulation, avulatory disorders may be favorably influenced by a healthy diet such as a higher consumption of monounsaturated fats rather than trans fats, vegetable rather than animal protein sources, high fat dairy, multivitamins, and iron from plants and supplements.[15] Ovulation induction[edit] The main alternatives for ovulation induction medications are: Antiestrogen, causing an inhibition of the negative feedback of estrogen on the pituitary gland, resulting in an increase in secretion of follicle-stimulating hormone. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996.
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. Patients with azoospermia or severe oligospermia are more likely to have a chromosomal abnormality (10-15%) than infertile men with sperm density within the reference range (1%). The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.
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The fertilized egg is then implanted in the uterus. Fertility may improve after adopting a gluten-free diet.Infertility can be caused by many different things. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse.
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A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months. Corticosteroids are usually used to reduce the production of testosterone.
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Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Surgical procedures are now rarely used because of the high success rate of other infertility treatments. IUI: Fertility doctors may also recommend intrauterine insemination or IUI. Urofollitropin (eg, Bravelle) contains 75 U of FSH. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Treatment The cost of infertility treatment is high [34]. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Treatment of the cause: 26. Ovulation disorders: (Hyperprolactinaemic amenorrhoea) - Women with ovulatory disorders due to hyperprolactinaemia should be offered treatment with dopamine agonists such as bromocriptine. - Consideration should be given to safety for use in pregnancy and minimising cost when prescribing. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling. Torsion pinches the blood vessels that feed the testes shut which causes testicular damage. If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Features include a webbed neck, short stature, low-set ears, ptosis, shield-like chest, lymphedema of hands and feet, cardiovascular abnormalities, and cubitus valgus. 18 If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20).
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See also
Female Infertility Healthline
Infertility Information Video in Malayalam
Infertility in Humans Pdf