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Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Normal uterine implantation can therefore not occur. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. This can make it difficult for the embryo to implant. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity.

Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. These are agents that support the follicular maturation and the secretion of gonadotropins.

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The ideal response is one in which only 2-3 follicles develop. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Additional information regarding infertility is available at . Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Infertility in men Semen and sperm The most common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex.

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Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Patients may have a normal palpable vas deferens bilaterally but show decreased ejaculate volume and hemospermia and may experience pain upon ejaculation. Some methods may be used in concert with other methods. They are very common (approximately 40% of women have them them). The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature.

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Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. Tests and trials are available, but testing does not always reveal a specific cause. Testicular histology reveals hyalinization of seminiferous tubules.[21] Some men with Klinefelter syndrome may be able to conceive with the help of assisted reproductive techniques. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. Treatment of tubal obstruction generally requires referral for subspecialty care. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Learn what factors can influence your fertility and whether to consider seeking medical help.