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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. This difference is not merely conceptual since the studies carried out in order to understand the causes and the treatment given in both cases are totally different. If the epididymis is blocked, sperm may not be ejaculated properly. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980.

Unexplained infertility In the UK, unexplained infertility accounts for around 25% of cases of infertility. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination.

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A doctor or WHNP takes a medical history and gives a physical examination. Do you have any medical problems or prior surgeries?

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There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization.

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Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. What decreases a man’s chance of impregnating a woman? The later they are detected, the more complicated having children becomes. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. After almost 5 years of trying to conceive, going through numerous tests and meeting with another clinic closer to home, who told me my chances even with IVF were still very low, a good friend recommended advanced fertility center of Chicago.