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Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. A variety of disorders ranging from hormonal disturbances to physical problems, to psychological problems can cause male infertility. Although many treatment options are now available, in many cases treatment will not work. In many instances, male infertility is caused by testicular damage resulting in an inability of the testicle to produce sperm. Once damaged, the testicle will not usually regain its sperm-making capabilities; this aspect of male infertility is analogous to menopause (though not natural like menopause) for women and cannot usually be treated. Despite medicine�s limited ability to treat male infertility, many successful treatment options are available for its many causes. Besides testicular damage, the main causes of male infertility are low sperm production and poor sperm quality. The Causes of Male Infertility Male infertility has many causes--from hormonal imbalances, to physical problems, to psychological and/or behavioral problems. Moreover, fertility reflects a man�s �overall� health. Men who live a healthy lifestyle are more likely to produce healthy sperm. The following list highlights some lifestyle choices that negatively impact male fertility--it is not all-inclusive: · Smoking--significantly decreases both sperm count and sperm cell motility. · Prolonged use of marijuana and other recreational drugs. · Chronic alcohol abuse. · Anabolic steroid use--causes testicular shrinkage and infertility. · Overly intense exercise--produces high levels of adrenal steroid hormones which cause a testosterone deficiency resulting in infertility. · Inadequate vitamin C and Zinc in the diet. · Tight underwear--increases scrotal temperature which results in decreased sperm production. · Exposure to environmental hazards and toxins such as pesticides, lead, paint, radiation, radioactive substances, mercury, benzene, boron, and heavy metals · Malnutrition and anemia. · Excessive stress! The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility.
In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. Medications, treatments, and drugs Some drugs can affect fertility in a woman. The Jones metroplasty consists of resecting the septum using an anteroposterior wedge incision and closing the defect in the same direction (see the images below). [117, 118, 119] Infertility. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Source : How To Use California’s Department Of Managed Health Care ...
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If a cause for your fertility problems hasn't been identified, talk to your doctor about the next steps. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. That is why a complete build-up of the endometrial mucosa is not possible anymore. Normal cervical mucus to allow passage of the sperm to the upper genital tract. In these methods, fertilization occurs inside the body.
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PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy. This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.
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There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). The laboratory evaluation begins with a semen analysis. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. It was broken down into male and female categories.
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See also
Endometriosis and Infertility a Systematic Review
Infertility Clinic Balboa Naval Hospital
Varicocele Repair Infertility