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Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Up to 2 percent of men are thought to have suboptimal sperm. Age plays quite a critical role, as fertility peaks for both men and women in their mid-twenties. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation.

Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. The stimulation of follicular maturation is continued with HMG or FSH. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Up to 2 percent of men are thought to have suboptimal sperm. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM).

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To analyze tubal causes of sterility, different methods can be considered. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy.

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It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. To help objectify sperm morphology and therefore enhance the consistency and reproducibility among laboratories, Kruger introduced a definition of "strict criteria" in 1986.

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Worldwide, 8 to 12 percent of couples experience fertility problems. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.