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Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. Optimizing natural fertility: a committee opinion. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation.

Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. A relationship also exists between obesity and erectile dysfunction (ED).

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8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. There are a wide array of treatments available, each targeting a different cause of infertility, and they include the following: Fertility drugs: These drugs work by stimulating the hormones responsible for the maturing and release of the egg and could help those with ovarian disorders. Other causes may include: Genetic factors: A man should have an X and Y chromosome. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation.

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Causes of this kind of infertility include: Retrograde ejaculation. Shaban says that often, there is embarrassment. “Guys confuse libido and potency with fertility. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. Many health conditions can make it hard to get pregnant. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Treatment of the cause: 28. Tubal and uterine factors: 4. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. If this is unsuccessful, the dosage may be increased to 100 mg daily. Ovulatory periods are often accompanied by midcycle symptoms such as mittelschmerz or premenstrual symptoms. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases.