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Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. The presence of anti-sperm antibodies have been found in infertile men, and suppression of these antibodies with corticosteroid treatment has improved the semen quality and increased the rate of conception. If the epididymis is blocked, sperm may not be ejaculated properly.

The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors. Treatment of tubal obstruction generally requires referral for subspecialty care. Varicocele: Surgically removing a varicose vein in the scrotum may help. Bromocriptine (Parlodel): This drug inhibits prolactin production.

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Varicocele: Surgically removing a varicose vein in the scrotum may help. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Possible causes include the egg not being released at the right time, the egg’s inability to reach the fallopian tube, or the sperm’s inability to reach the egg.

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In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Male infertility isn't something you hear much about on the news, so you may be surprised to know that male infertility is almost as likely as female infertility to be involved in a couple's inability to achieve pregnancy.

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To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. This leads to increased androgen secretion from the adrenal gland, causing feedback inhibition of GnRH release from the hypothalamus. In addition to the components already listed, semen is also composed of secretions from the bulbourethral (Cowper) glands and the (periurethral) glands of Litre, each producing 2-5% of the ejaculate volume, serving mainly to lubricate the urethra and to buffer the acidity of the residual urine. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Management of the infertile couple: an evidence-based protocol. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur. The eggs may never be released or they may only be released in some cycles. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI. Prolonged diestrus can result from luteal cysts in the ovary. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.