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Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle.

Female factor infertility is typically to blame 40 percent of the time, while male factor infertility is the cause of issues 30 to 40 percent of the time. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. If you and your partner agree, extra embryos can be frozen and saved to use later. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998.

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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. Delayed conception and active and passive smoking. Female and male factors are equally responsible for infertility. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation.

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Understanding the normal reproductive process is essential in knowing when to seek help. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Cryptorchidism An estimated 3% of full-term males are born with an undescended testicle, but fewer than 1% remain undescended by age 1 year. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.

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In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. During emission, sperm are propelled forward by peristalsis. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Bromocriptine and cabergoline are dopamine agonists used to suppress prolactin levels. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J.