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Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. For in-vitro fertilization, a 100,000 of sperm are necessary and, for the intracytoplasmatic sperm injection, only a few sperms are required.

A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. This measurement is called the antral follicle count and may correlate with fertility potential.

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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. It stimulates the ovaries to mature egg follicles. Factors effecting normal expectancy of conception. Testicle pain or swelling There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility. This can make it difficult for the embryo to implant. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

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Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. It also tests for a luteal phase defect (inadequate level of progesterone). The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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In general, infertility is defined as the inability of couples to achieve pregnancy after ≥1 year of trying (1). Infertility caused by DNA defects on the Y chromosome is passed on from father to son. The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). 5 percent of infertile men and may be controlled by medications like decongestants which contract the bladder sphincter or surgical reconstruction of the bladder neck can restore normal ejaculation. United Kingdom[edit] In the UK, previous NICE guidelines defined infertility as failure to conceive after regular unprotected sexual intercourse for two years in the absence of known reproductive pathology.[11] Updated NICE guidelines do not include a specific definition, but recommend that "A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility, should be offered further clinical assessment and investigation along with her partner, with earlier referral to a specialist if the woman is over 36 years of age."[12] Other definitions[edit] Researchers commonly base demographic studies on infertility prevalence on a five-year period.[13] Practical measurement problems, however, exist for any definition, because it is difficult to measure continuous exposure to the risk of pregnancy over a period of years. However, further testing may include: A general physical exam by a urologist. Metabolic causes of infertility, other than in severely ill individuals, are rare.