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In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). A doctor or WHNP takes a medical history and gives a physical examination. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.

Understanding the normal reproductive process is essential in knowing when to seek help. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg.

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Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction. If each step has occurred as planned, implantation of the fertilized egg into the uterus can take place within 72 hours of the ICSI process.

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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. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Passing very dark, old blood at the beginning of a period can also be a sign of endometriosis. Practice Committee of American Society for Reproductive Medicine.

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If a person is experiencing other symptoms, they may wish to speak to a doctor. Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. The production of anti-sperm antibodies by the woman’s immune system can interfere with fertilization. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). The substances are preferentially used at the beginning of the cycle.