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Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy. The percentage of body fat should be greater than 22% to permit regular ovulatory cycles.

Other hormones including inhibin B and leptin, may also be affected by obesity. Smoking during pregnancy increases the chance of pregnancy loss.

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389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. Understanding the normal reproductive process is essential in knowing when to seek help.

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Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. Overweight or obesity: This may reduce the chance of conceiving.

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XX male (sex reversal syndrome) An XX karyotype is due to a crossover of the sex-determining region (SRY) of the Y chromosome (with the testis determining factor) to either the X chromosome or an autosome. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Varicoceles are generally asymptomatic, and most men with varicoceles do not have infertility or testicular atrophy. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Worldwide, 8 to 12 percent of couples experience fertility problems.