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Ovulation usually occurs within the 32-40 hours after the indicative color change. This diagnosis is therefore shared by 15% of couples attempting to conceive. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

Obesity and increased risk for oligozoospermia and azoospermia. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments.

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Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). Genetic karyotyping, if a recurrent miscarriage is a problem. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). 40 Patients using these agents should be counseled about these risks. If there's a problem with the mucus, it can make it harder to conceive. 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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An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994.

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Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis. A bicornuate uterus is characterized by the presence of an indentation at the fundus. If sperm appears, these men should be offered cryopreservation. A couple should see a healthcare provider if they have not been able to become pregnant after 12 months of having sex regularly without birth control.