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Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Periparturient Problems in Small Animals Was This Page Helpful?Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004.

Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Blood test: The lab will test for levels of testosterone and other hormones. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. This technique involves an injection of a single healthy sperm directly injected into mature egg. Before treating cornual obstruction, the diagnosis should be confirmed.

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Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. It works in the following way: Clomiphene is an anti-estrogen. There are many factors that may be causing your fertility difficulties.

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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Hormonal abnormalities can sometimes be treated with medicine or surgery. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation.

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Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Blocked tubes Sperm travel in tubes from the man’s testes to the penis. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Helping our patients develop a deep understanding of their fertility options will make the process smoother. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility.


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