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Gynecological history, including operations and medical treatment. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.

Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. 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. The content of counselling may differ depending on the concerned couple and the existing treatment options.

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The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. Depending on the sperm count, the couple is advised to have intercourse near the time of ovulation or to proceed with intrauterine insemination. Most problems are related to premature labor and pregnancy loss. However, until approximately age 64, a man’s age does not affect sperm or the ability to fertilize eggs.

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The entire process of development from spermatogonium to spermatid takes 74 days and is described in 14 steps; as they mature, the developing spermatids progress closer to the lumen of the seminiferous tubule. These risks include: Age (past age 40, men experience more fertility problems).

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A varicocele is like a varicose vein that can appear in the leg. Pelvic inflammatory disease Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, which includes the womb, fallopian tubes and ovaries. Environmental toxins, including pesticides and lead. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Listen to Mr Brook talk about male infertility Find out more about ICSI. Defects in cilia Immotile cilia syndrome may occur as an isolated disorder or as part of Kartagener syndrome with situs inversus. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. But the question that should be answered one day is: will the output quality be compromised with such approach? IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.