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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Varicocele: Surgically removing a varicose vein in the scrotum may help. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ.

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Semen is the milky fluid that a man's penis releases during orgasm. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. This technique involves an injection of a single healthy sperm directly injected into mature egg. Sometimes, female infertility is related to a hormone problem.

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If it stays in there, complications can develop, such as the rupture of the fallopian tube. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control.

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Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Oligozoospermia refers to a low sperm count under 20 million per milliliter. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. The urine specimen must be centrifuged immediately. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.