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Some methods may be used in concert with other methods. American Urological Association Education and Research, Inc. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. She records this temperature on a sheet of graph paper.

The testes are at risk for both thermal and physical trauma because of their exposed position. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. As a result, estrogen levels are dramatically reduced, releasing the hypothalamic-pituitary axis from its negative feedback. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant?

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Being obese or overweight: This can increase the risk of infertility in women as well as men. These time intervals would seem to be reversed; this is an area where public policy trumps science. Coital frequency is positively correlated with pregnancy rates. Infertility FAQs Male Infertility Best Practice Policy Committee of the American Urological Association & Practice Committee of the American Society of Reproductive Medicine. (2006). This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Menstrual blood is usually bright red at the beginning of a person's period and may get darker over the following days.

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Men can still ejaculate with a low sperm count or poor-quality sperm. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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The dynamics of stress in fertile and infertile couples. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. This diagnosis is therefore shared by 15% of couples attempting to conceive. Its use is controversial in patients with a history of breast cancer. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. This measurement is called the antral follicle count and may correlate with fertility potential. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Up to 2 percent of men are thought to have suboptimal sperm. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.