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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Tubal obstruction due to elective sterilization is better repaired with microsurgery, although the modern tendency is to perform the anastomosis using operative laparoscopy. [33, 143, 144] In either event, knowing in advance what type of tubal ligation technique was used is important. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008.

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Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. The mammary glands are also controlled by the pituitary gland, so lactation can also be affected.

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Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. Causes of this kind of infertility include: Retrograde ejaculation. Fertility treatment with donor eggs is usually done using IVF.

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Sometimes there may be simple ways to make lifestyle adjustments to improve fertility, while other underlying causes may require treatment. About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. Most of infertile couples are aware of what can be offered to them from the media. GnRH travels down the portal system to the anterior pituitary, located on a stalk in the sella turcica, to stimulate the release of the gonadotropins, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Causes in women Infertility in women can also have a range of causes. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. If you’re having trouble conceiving, you are certainly not alone. In some women, and especially with age, the membrane becomes harder. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility.