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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. If the egg does not travel, it can be harder to conceive naturally. For unknown reasons, as women age, egg numbers decrease at a rapid rate. Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases.

CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years.

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Exposure to chemicals: Pesticides, for example, may increase the risk. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. When this happens, it causes something called a varicocele. Overweight or obesity: This may reduce the chance of conceiving.

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The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Blood test: This can assess hormone levels and whether a woman is ovulating. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. By 2014, over 5 million people had been born after being conceived through IVF. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles.

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Being obese or overweight: This can increase the risk of infertility in women as well as men. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. There are treatments that are specifically for men or for women. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. Some medications increase the risk of fertility problems in men. The CC response is monitored using pelvic ultrasonography starting on menstrual cycle day 12.