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Infertility and fertility Control.

infertility picture2Infertility is defined as the inability to conceive after 12 months of unprotected sexual intercourse.Male Causes; Known causes of male infertility includes primary testicular dysfunction, disorder of sperm transport, and the hypothalamic-pituitary disease resulting in secondary hypogonadism.The key initial diagnostic test is a semen analysis. Although 95% confidence limits can be used to define normal semen parameters, data relating sperm counts to fecundability are more useful.

The main factors are:

1) Y chromosome micro deletions.
2) Low testosterone.
3) Impaired spermatogenesis.
4) Low sperm counts.
5) Chemotherapy.

The main factors are:

1) Hypothalamic or pituitary [low follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol with or without an increase in prolactin] 2) polycystic ovarian syndrome (PCOS; irregular cycles and hyperandrogenism in the absence of other causes of androgen excess);
3) ovarian (low estradiol with increased FSH)
4) Uterine or outflow tract abnormality.

Treatment; The treatment of infertility should be tailored to the problems unique to each couple. In many situations, including unexplained infertility, mild to moderate endometriosis, and/or borderline semen parameters, a stepwise approach to infertility

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