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Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). Fertility may improve after adopting a gluten-free diet.Infertility can be caused by many different things. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI.

For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. The incidence rate of ectopic pregnancy after surgery is in the range of 5%. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. 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.

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Another potential symptom is irregular menstruation, where five or more menstrual cycles a year are five or more days shorter or longer than the length of the average cycle. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

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Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. These abnormalities can also cause irregular bleeding between menstrual cycles.

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Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. The content of counselling may differ depending on the concerned couple and the existing treatment options. Letrozole has a very short half-life (45 hours) and, therefore, is quickly cleared from the body. National Collaborating Centre for Women's and Children's Health. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency.