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Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010.

As a woman gets older, the number of her eggs decreases rapidly. 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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However, hormones are not the main problem in 97% of infertile men. Septate uterus The hypothesis that a uterine septum can cause infertility is controversial. The use of CC is contraindicated in cases of ovarian cyst, pregnancy, and liver disease. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. No role for: Post-coital testing for cervical mucous. Endometrial Biopsy.

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New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Biopsy reveals maturation arrest or germ cell aplasia. In 1985, he constructed the pelvi-trainer = laparo-trainer, a practical surgical model whereby colleagues could practice laparoscopic techniques. Endometriosis can only be confirmed by surgery, usually laparoscopy.

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Optimizing natural fertility: a committee opinion. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts. Assisted conception The following methods are currently available for assisted conception. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. 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. Arcuate uterus In general, an arcuate uterus does not cause infertility. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999.