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The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. It's often caused by a sexually transmitted infection (STI). Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4).

Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.

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In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes.

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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. In collaboration with partners, CDC developed the National Public Health Action Plan for the Detection, Prevention, and Management of Infertility, which identifies opportunities to prevent and reduce infertility and improve outcomes for couples undergoing fertility treatment. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus.

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There are many disorders that may impact the ability for a woman to ovulate normally. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. ART techniques generally start with stimulating the ovaries to increase egg production. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. After ruling out female infertility concerns, tests for male infertility may be needed. This reduction division (ie, meiosis) results in a haploid chromosome number. Although tubal disease was the original indication for IVF, many more indications have developed over the years. The hypothalamus, the primary integration center, responds to various signals from the central nervous system (CNS), pituitary gland, and testicles to secrete gonadotropin-releasing hormone (GnRH) in a pulsatile pattern approximately every 70-90 minutes.