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Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. If fimbriectomy was performed, no treatment is available other than IVF.

The effects of age on fertility are moderate and do not begin to take an effect until the late 30s. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Today, assisted reproductive techniques (ARTs) offer powerful new options.

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Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. A blood test done on days 21 or 22 of a normal 28-day menstrual cycle can be used to test whether ovulation has occurred by measuring the progesterone level.

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Semen analysis – The semen analysis is the main test to evaluate the male partner. Treatment of Secondary Amenorrhea and Oligo-ovulation Once the diagnosis is established and any other endocrinopathy has been excluded, the ovulation induction agent of choice depends on a functioning hypothalamic-pituitary-ovarian axis. Nowadays, given the huge emotional impact caused by pregnancy loss, in those cases where two pregnancy losses have taken place, an analysis and treatment is advised. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. 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. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference.

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There are tests that may tell if you have fertility problems. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. The Human Fertilization and Embryology Authority, HFEA website.Summary Infertility means not being able to become pregnant after a year of trying. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.