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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. A doctor or WHNP takes a medical history and gives a physical examination.

Patients have with small- to normal-sized testes and azoospermia, but normal secondary sex characteristics. Diagnostic evaluation of the infertile female: a committee opinion. Gonadotrophins for idiopathic male factor subfertility. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization.

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IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. Medications, treatments, and drugs Some drugs can affect fertility in a woman. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.

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For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. The emotional toll on both partners can affect their relationship.

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If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Follicular puncture Embryo transfer Ovarian stimulation Postcoital test In-vitro cultivation 3. The content of counselling may differ depending on the concerned couple and the existing treatment options. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Female infertility has many possible causes, such as irregular ovulation, uterine fibroids, fallopian tube blockage, PCOS, or endometriosis.