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The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Some causes, such as hyperprolactinemia, are reversible with proper treatment.

Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Optimizing natural fertility: a committee opinion.

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Often, varicoceles or past infections such as mumps orchitis are the cause of sterility. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Prolactin stimulates breast development and lactation; therefore, patients with infertility due to a prolactinoma may have gynecomastia and galactorrhea. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.

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This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy.

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Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Women who are at risk, including those on a vegan diet, should ask the doctor about supplements. The treatment of uterine malformations depends on the severity of the problem. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. The obtained oocytes are released from their follicles and adhesive granulocytes are removed with an enzyme, and then the injection of seminal filaments is made with a glass pipette.