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A couple which is unable to conceive is not the same as a couple which often conceives without difficulties but which then sadly finds that the pregnancy does not go full term. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Female factor infertility is typically to blame 40 percent of the time, while male factor infertility is the cause of issues 30 to 40 percent of the time. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. The woman is instructed to measures her body temperature every morning as soon as she wakes up, before she gets out of bed or before she eats or drinks anything.

However, intercourse 3 times a week results in a probability of conception around 50% within 6 months. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin.

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Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Everyone was so helpful and here for all our questions, worries, etc.

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Infertility and Impaired Fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Some women are infertile because their ovaries do not mature and release eggs.

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Close Diagnosing Sterility If you and your partner have been trying for more than a year to become pregnant, or both of you are over thirty and battling, it is good idea consult your gynecologist, obstetrician or urologist for further investigation. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. More than 60% of sperm should be normal, and less than 2-3% should be immature. 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. On the other hand, excess weight can also create ovarian dysfunctions. The likelihood of fertilization improves significantly for men with low sperm concentrations. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. During emission, sperm are propelled forward by peristalsis. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. A 3 to 5 days long sexual abstention is absolutely necessary for this. The emotional toll on both partners can affect their relationship. In many cases, there are tests that can help find the cause(s) of male infertility. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. It does not induce ovulation, but reduces the production of prolactin by the pituitary.[20] Bromocriptine is only prescribed in cases of overproduction of prolactin (hyperprolactinemia).