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We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. 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. Overweight or obesity: This may reduce the chance of conceiving. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms.

Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules.

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Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. Women who are at risk, including those on a vegan diet, should ask the doctor about supplements. A sperm count of under 15 million is considered low.

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A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Ideally, the cause of the infertility is reversible and then conception can result from natural sex. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. 5 percent of infertile men and may be controlled by medications like decongestants which contract the bladder sphincter or surgical reconstruction of the bladder neck can restore normal ejaculation. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation.