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Optimizing natural fertility: a committee opinion. An adequate semen analysis includes the following: Volume (1. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998.

For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. Infertility in women Infertility is most commonly caused by problems with ovulation, the monthly release of an egg. Diagnosis Male infertility is usually diagnosed by a semen analysis. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

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Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection.

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A relationship also exists between obesity and erectile dysfunction (ED). WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Obesity and increased risk for oligozoospermia and azoospermia. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991.

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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Central Ave Suite 2C Chicago, IL 60630 Phone: (773) 794-1818 Fax: (773) 794-1819 GURNEE 30 Tower Court Suite F Gurnee, IL 60031 Phone: (847) 662-1818 Fax: (847) 662-3001 CRYSTAL LAKE 820 E. In some patients, secondary sex characteristics develop normally, but they are usually completed late. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.