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Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991.

Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. Heavy alcohol use (more than four to five drinks a day). Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Ideally, the test should be performed at least twice to confirm results. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility.

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It causes a blood stasis that raises the temperature of the scrotum. Ovulation disorders appear to be the most common cause of infertility in women. It is better for a couple to see the doctor together. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). Medicamentous Induction of Ovulation Ovulation inductors are used for dysfunctions in the hypophyseal-hypothalamic area.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.

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8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.