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Semen is the milky fluid that a man's penis releases during orgasm. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity.

Sterility is the inability to conceive and infertility is the inability to complete a full term pregnancy and give birth to a healthy child. Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. It can also help if a man has severe erectile dysfunction.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Online support from organizations such as Resolve can be helpful. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Prescription drugs can be useful when treating infertility issues.

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Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop.

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In-Vitro Fertilization (IVF) Image: “Assisted Reproductive Technology” by BruceBlaus. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Some methods may be used in concert with other methods. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Fertility Evaluation of the Female Partner: Evidence of Ovulation There are a variety of tests to check if and when the woman is ovulating.