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However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Start CC at the initial dose of 50 mg/day for 5 days. Sperm counts can fluctuate, so that several samples may be necessary. For the past 20 years, hMG and its derivatives have been the first choice for controlled ovarian hyperstimulation in assisted reproductive technologies. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33].

A relationship also exists between obesity and erectile dysfunction (ED). Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities.

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Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production.

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Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Obesity Research from 2015 noted that many studies link obesity in men with infertility. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex.

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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Advantages[edit] There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. Is there a way to increase a couple’s chance of getting pregnant? Defects of tubules that transport sperm There are many different tubes that carry sperm. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility.