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Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. View Media Gallery Seminiferous tubules are made up of Sertoli cells and germ cells and are surrounded by peritubular and myoid cells. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Blood tests that might be needed include day 3 follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), AMH, prolactin, testosterone (T), progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), thyroid stimulating hormone (TSH). Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg.

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. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. Medical treatment for minimal to mild disease has not been shown to be of benefit. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Because the sperm have a short life span outside the human body, the semen specimen must be evaluated within a short time frame. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

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8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Conception and Fertility The chance of conceiving in any given menstrual cycle is less than 20% in a woman of reproductive age. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates.

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Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes.

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Preconception lifestyle advice for people with subfertility. 16. Investigation of suspected tubal and uterine abnormalities: 1. Chemotherapy: Some types may significantly reduce sperm count. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier) can be introduced by the surgeon into the abdomen through trocars (hollow tubes with a seal to keep the CO 2 from leaking). Semen quality Semen is initially a coagulum that liquefies in 5-25 minutes due to prostatic enzymes.