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Checking the woman’s fallopian tubes to make sure they are not blocked. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. In-vitro fertilization and donor insemination are major procedures involved.

Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests. Advising surgery in cases of primary infertility is difficult. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996.

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But if you haven’t had a period in months, it’s time to get your fertility checked. Endometriosis can only be confirmed by surgery, usually laparoscopy. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Chemotherapy: Some chemotherapy drugs can result in ovarian failure.

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But the question that should be answered one day is: will the output quality be compromised with such approach? This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Symptoms If a couple doesn't get pregnant after a year of unprotected intercourse, both the man and woman should be evaluated. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm.

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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. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. The emotional toll on both partners can affect their relationship. Ideally, patients respond to replacement with exogenous GnRH or HCG, an LH analogue, although this does not always occur. Today, assisted reproductive techniques (ARTs) offer powerful new options. Symptoms depend on what is causing the infertility. Chemotherapy: Some types may significantly reduce sperm count.