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Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Overweight or obesity: This may reduce the chance of conceiving. 7 million women reported impaired ability to get pregnant or carry a baby to term. Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation.

BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. It involves removing eggs from the ovary of a donor who has taken fertility drugs. This should be followed by documentation of ovulation via serum progesterone.

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Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Online support from organizations such as Resolve can be helpful.

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Medicines are usually given to the woman first to increase the number of eggs she releases. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. Unexplained fertility affects about 10 percent of couples worldwide. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Only 5-10% of these couples eventually achieve a pregnancy within 5 years.

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Clinical Asst Professor, Obstetrics and Gynecology. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. Treatment of tubal obstruction generally requires referral for subspecialty care. Scrotal surgery, including vasectomy, hydrocelectomy (5-6%), and spermatocelectomy (up to 17%), may lead to epididymal injury and subsequent obstruction.[30] Antisperm antibodies Antisperm antibodies bind to sperm, impair motility, and lead to clumping, impairing movement through the female reproductive tract and interaction with the oocyte. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3]. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. Medicamentous Induction of Ovulation Ovulation inductors are used for dysfunctions in the hypophyseal-hypothalamic area. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. In fact, female age-related infertility is the most common cause of infertility today. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis?