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0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Problems maintaining erection A man’s ability to maintain an erection is often linked to his hormone levels. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

Understanding the normal reproductive process is essential in knowing when to seek help. Exposure to chemicals: Pesticides, for example, may increase the risk. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. The typical indication is the oligoasthenoteratozoospermia here.

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Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH). The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. If a woman has an ovulation disorder, she may ovulate infrequently or not all. El Uso de las Espermátides en la Azoospermia. (PDF, 12 MB) Chapter 42 from Reproducción Humana, 2002.

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There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes.

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However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Patients have eunuchoidal body habitus, large testis, and a low ejaculatory volume. An increased volume is rarely observed and is often caused by a contaminant, such as urine. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Peritubaric adhesions can be caused by endometriosis. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Abnormal semen may not be able to carry the sperm effectively.


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See also
Pdf on Infertility
Infertility After Eating Disorder
Infertility After Two Abortions