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Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. Sometimes there may be simple ways to make lifestyle adjustments to improve fertility, while other underlying causes may require treatment.

These patients are often tall and severely oligospermic or azoospermic. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. At this point, psychological consultation and support should be provided [44].

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Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. Infertility caused by DNA defects on the Y chromosome is passed on from father to son.

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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. This may take the form of miscarriages or extrauterine pregnancies. Signs of Potential Infertility in Men Infertility symptoms in men can be vague.

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After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. Intra-abdominal adhesion formation is a risk associated with both laparoscopic and open surgery and remains a significant, unresolved problem.[29] Adhesions are fibrous deposits that connect tissue to organ post surgery. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. 0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1.