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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen.

Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. If you and your partner agree, extra embryos can be frozen and saved to use later. 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.

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Patients present with short stature, precocious puberty, small testis, and occasional bilateral testicular rests. Management of the infertile couple: an evidence-based protocol. There are tests that may tell if you have fertility problems. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. World Health Organization reference values for human semen characteristics.

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Paternal age > or = 40 years: an important risk factor for infertility. In 1978, the first baby was born as a result of IVF. In terms of deliveries per egg retrieval, GIFT has a higher success rate than IVF regardless of the woman’s age – approximately 28%. 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. They may go unnoticed until a man tries to have a baby.

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Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Functional sperm that are present may have a normal karyotype. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures.