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The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. When this happens, it causes something called a varicocele.

Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

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Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Treatment of the cause: 23. Ovulation disorders: The WHO classifies ovulation disorders into 3 groups: 1. The menopause is premature when it occurs before 40 years of age.

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However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Overweight or obesity: This may reduce the chance of conceiving. The initial dosage of clomiphene is 50 mg daily for five days starting on day 3 to 5 of the menstrual cycle. A woman who keeps having miscarriages is also considered infertile. Aromatase inhibitors are available for clinical use and FDA approved for treatment of postmenopausal breast cancer, but not for ovulation induction.

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Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Passive smoking has also been linked to lower fertility. This is taken from the vaginal vault as well as from the cervical canal. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus.