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Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Diagnostic evaluation of the infertile female: a committee opinion. 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. If you and your partner agree, extra embryos can be frozen and saved to use later.

World Health Organization reference values for human semen characteristics. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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It is important to tell a doctor if excessive mental and emotional stress develop. Women 35 and older should see their doctor after six months of trying. The doctor or WHNP may also be able to suggest lifestyle changes to increase the chances of conceiving.[65] Women over the age of 35 should see their physician or WHNP after six months as fertility tests can take some time to complete, and age may affect the treatment options that are open in that case.

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The incidence rate of ectopic pregnancy after surgery is in the range of 5%. 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. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality.

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Factors effecting normal expectancy of conception. An ultrasound scan can detect an ectopic pregnancy. Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Immunohistochemical stains are performed if more than 5-10 round cells/HPF are present.  Other tests Semen may be analyzed for levels of zinc, citric acid, acid phosphatase, and alpha-glucosidase.