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Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy. Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group.

Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation.

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It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Causes in men The following are common causes of infertility in men. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Intrauterine insemination (IUI.)At the time of ovulation, sperm are injected directly up into the uterus. This improves the chances that the embryo will implant at, or attach to, the wall of the uterus.

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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. Ovulation usually occurs within the 32-40 hours after the indicative color change. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Do you have pain with menstrual periods or intercourse? The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. A low testosterone level with a low FSH level signals a secondary cause.