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Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? 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.

Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma.

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ART techniques generally start with stimulating the ovaries to increase egg production. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994.

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Many health conditions can make it hard to get pregnant. The rest of the time, it is because of both partners or no cause can be found. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Spermatogonia and Sertoli cells lie on the basement membrane of the seminiferous tubules. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes.

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A typical disease is polycystic ovarian syndrome. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles. A low testosterone level with a low FSH level signals a secondary cause. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury. Blood test: This can assess hormone levels and whether a woman is ovulating. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors.