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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Anovulation is when the ovaries do not release an oocyte during a menstrual cycle. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery.

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The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. However, there are various scenarios where one may be advised to seek help earlier.

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Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. Other hormones including inhibin B and leptin, may also be affected by obesity.

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8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. If a person is experiencing other symptoms, they may wish to speak to a doctor. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome. A review of records from other fertility doctors that you have seen is also important. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism).