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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. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.

Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well.

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If a person is experiencing other symptoms, they may wish to speak to a doctor. 0 Definition of Sterility and Infertility With regard to terminology, infertility has to be distinguished from sterility. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits.

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Predominantly anovulation is caused by hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) but ovarian scarring and premature menopause can also result in failure to ovulate. • Tubal disease, comprising anything from mild adhesions to complete blockage of the fallopian tubes, prevents fertilised eggs from travelling from the site of fertilisation to the uterus. The National Institute for Health and Care Excellence (NICE) recommends that women with unexplained infertility who haven't conceived after 2 years of having regular unprotected sex should be offered IVF treatment. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. ART: Gamete Intrafallopian Transfer (GIFT) GIFT is a procedure that involves ovarian stimulation, egg retrieval, and placing a mixture of sperm and eggs directly into the woman’s fallopian tube to foster fertilization inside the female body.

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Infertility caused by DNA defects on the Y chromosome is passed on from father to son. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. To complete a basal temperature curve over 3 cycles can be helpful to identify anovulational cycles. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.