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Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. It can also help if a man has severe erectile dysfunction.

The Prevention of Acute Tubular Necrosis in Renal Transplantation by Chronic Salt Loading of the Recipient. (PDF, 627 KB) ANZ Journal of Surgery, 1974. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue.

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Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Radiation treatment and/or chemotherapy for cancer.

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A doctor or WHNP takes a medical history and gives a physical examination. Intra-uterine insemination for unexplained subfertility. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.

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Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Sterility is the inability to conceive and infertility is the inability to complete a full term pregnancy and give birth to a healthy child. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. The embryo is then placed in the uterus to begin a pregnancy. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.


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See also
Infertility Bubble Test
Questions to Ask Your Infertility Doctor
Management of Infertility in Female