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0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. The likelihood of fertilization improves significantly for men with low sperm concentrations. It can also help if a man has severe erectile dysfunction.

Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. If the tubes are blocked, the sperm cannot travel into and out of the penis making it impossible for the sperm to ever meet with and fertilize an egg. IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval.

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Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. The more fetuses there are, the higher the risk of premature labor. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009.

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Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion.

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This measurement is called the antral follicle count and may correlate with fertility potential. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Preconception lifestyle advice for people with subfertility. Contents Types[edit] Cholecystectomy as seen through a laparoscope There are two types of laparoscope:[2] a telescopic rod lens system, usually connected to a video camera (single chip or three chip) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing traditional fiberscopes. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. To assist in the luteal phase, the patient is given beta-HCG or progesterone. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. 2012;27(8):2396–2404.   Want to use this article elsewhere? Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility.