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If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Physical exam A directed physical exam that may include a pelvic ultrasound should be performed. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term.

Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Testing for Men In the case of men, a general physical examination will be performed, with discussions concerning medical history, illnesses, disabilities, medications and sexual habits. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.

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Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. The rest of the time, it is because of both partners or no cause can be found.

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Infertility FAQs Male Infertility Best Practice Policy Committee of the American Urological Association & Practice Committee of the American Society of Reproductive Medicine. (2006). Prescription drugs can be useful when treating infertility issues.

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The sperm is washed in a fluid and the best specimens are selected. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. Chemotherapy Chemotherapy is toxic to actively dividing cells. Only 5-10% of these couples eventually achieve a pregnancy within 5 years. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Menstrual blood is usually bright red at the beginning of a person's period and may get darker over the following days. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. The problem is getting the sperm where they need to go. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation.


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See also
Infertility Y Chromosome
Babycenter Infertility
Infertility Ethical Issues