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If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Secondary spermatocytes contain smaller nuclei with fine chromatin. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39].

Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Abnormal head shapes are described as tapered, duplicated, small, large, amorphous, or pyriform. This procedure is performed in the outpatient setting.

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Hypospadias affects about 1 in every 500 newborn boys. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help.

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It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. The typical indication is the oligoasthenoteratozoospermia here. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea.

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What decreases a man’s chance of impregnating a woman? Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Being obese or overweight: This can increase the risk of infertility in women as well as men. Around one third of couples have difficulty conceiving due to a low sperm count. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). The eggs may never be released or they may only be released in some cycles. Endometriosis (especially if chronic), uterine fibroids (myomas), or an abnormally-shaped uterus might interfere with conception as well.  Age  As women grow older, it usually becomes more challenging for them to conceive.