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We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. The principal indications for CC use are oligomenorrhea, especially polycystic ovarian syndrome (PCOS), and for patients with slight menstrual irregularities.

Females[edit] The following causes of infertility may only be found in females. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. Judaism and Reproductive Technology. (PDF, 2 MB) 2010.

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A majority of the results are in the normal range here which is why it is also called idiopathic sterility. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. The dynamics of stress in fertile and infertile couples.

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Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. 4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages.

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Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis. On the other hand, excess weight can also create ovarian dysfunctions. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. The ideal response is one in which only 2-3 follicles develop. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects.