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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Thus it is essential to evaluate both the man and the woman. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. The first phase develops between the second and seventh day after ovulation, and the second phase only occurs if the patient becomes pregnant.

2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

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Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. Overweight or obesity: This may reduce the chance of conceiving. Endometriosis can only be confirmed by surgery, usually laparoscopy. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. FSH and LH are released into the systemic circulation and exert their effect by binding to plasma membrane receptors of the target cells.

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Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). Other hormones including inhibin B and leptin, may also be affected by obesity. The couples are not always consciously aware that they really are not interested in having children, but their sexual behavior reflects this attitude, e.g., in having sexual intercourse only after ovulation. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

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Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. In addition to a careful history, a physical evaluation may also be performed. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. When the syndrome occurs, the treatment is to be made symptomatically. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Infertility is the inability of a person, animal or plant to reproduce by natural means. To have a successful reanastomosis, the final tube should measure at least 4. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm.