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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998.

Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Practice Committee of the American Society for Reproductive Medicine. A low testosterone level with a low FSH level signals a secondary cause.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities.

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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Teratospermia is defined as less than 30% normal morphology, and the WHO lower reference limit (5th percentile) is 4%. The most common technique of artificial insemination in human beings is intrauterine insemination.

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Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Types of Infertility There are two types of infertility: primary and secondary. Blocked ovaries can start functioning again without a clear medical explanation. Many men with low sperm counts or abnormal semen are still fertile. This was set up on 1 August 1991 following a detailed commission of enquiry led by Mary Warnock in the 1980s A similar model to the HFEA has been adopted by the rest of the countries in the European Union. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. The doctor may ask about the couple's sexual habits and make recommendations regarding these. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis. The benefit – a physically relaxed intervention team can work concentrated on the main goals during the intervention. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. The treatment approach depends on the cause(s) of the infertility.