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If a blockage is present, surgery may be necessary. 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. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. Paternal age > or = 40 years: an important risk factor for infertility.

Factors like stress or heavy workouts can cause your period to temporarily disappear. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. If sperm does not appear in the ejaculate, but they are being produced, the doctor may be able to take sperm directly from the testicles, or from the bladder (in cases of retrograde ejaculation), and use that sperm to fertilize an egg in the lab. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate.

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The success rate of tubocornual anastomosis ranges from 20-58%. Most of infertile couples are aware of what can be offered to them from the media. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility.

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Teratozoospermia is when there are a large number of sperms with abnormal morphology. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. This leads to the final maturation and release of the egg. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. In addition to sperm immobility, patients experience sinusitis, bronchiectasis, and respiratory infections. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Practice Committee of the American Society for Reproductive Medicine.