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The laboratory evaluation begins with a semen analysis. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple.

By 2014, over 5 million people had been born after being conceived through IVF. Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production.

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Infertility Specialist Wakad

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Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. At this point, psychological consultation and support should be provided [44]. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity.

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Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy.

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Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. 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. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause.


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See also
Infertility Treatment Kerala
Evaluation for Infertility
Female Infertility and Pcos