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These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Hypothalamic-pituitary-gonadal axis stimulatory and inhibitory signals. This leads to the final maturation and release of the egg. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation.

Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. For conception to take place, several events should happen correctly and at exactly the right time. However, medical treatment can be used to reduce the myoma size prior to removal. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis.

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In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

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Undescended testicle may be isolated or may be observed as part of a syndrome such as prune belly syndrome. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Hormonal abnormalities can sometimes be treated with medicine or surgery. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.

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If both tubes are blocked, then in vitro fertilization (IVF) is required. Reduced hormones may result, which could potentially translate into trouble conceiving. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. The production of anti-sperm antibodies by the woman’s immune system can interfere with fertilization. Bromocriptine (Parlodel): This drug inhibits prolactin production. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. However, until approximately age 64, a man’s age does not affect sperm or the ability to fertilize eggs. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Obesity and increased risk for oligozoospermia and azoospermia. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy.