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For unknown reasons, as women age, egg numbers decrease at a rapid rate. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction.

Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. This seems to result in a significant improvement in fertility, although some studies disagree.

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Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health. Financing fertility treatment can also be costly, but there are programs that can help with this.Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Listen to Mr Brook talk about male infertility Find out more about ICSI.

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Costs for fertility testing and treatments History The doctor will ask questions to try to get clues as to the cause of your infertility. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. The couple should have sex at least every two days between the 10th and 18th day after the woman starts her period. 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. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.