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It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions.

Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. Factors effecting normal expectancy of conception.

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Clinical Asst Professor, Obstetrics and Gynecology. Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.

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Sterility is the inability to conceive after two years of regular intercourse. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. Men can still ejaculate with a low sperm count or poor-quality sperm.

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Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple. CAH may be due to the congenital deficiency of one of several adrenal enzymes, the most common of which is 21-hydroxylase deficiency. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". For unknown reasons, as women age, egg numbers decrease at a rapid rate. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.