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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Being obese or overweight: This can increase the risk of infertility in women as well as men.

As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. In addition, antibodies are present in 35% of patients with CBAVD. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. More than 15-20% bound is considered a positive test result.

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Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. 5 mg PO qd and increased to 5 mg once tolerance is built. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. However, nowadays, spermatozoa can be extracted by means of a testicular puncture.

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Sperm production problems One of the most common causes of male infertility is problems with sperm production. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for Infantile hypertrophic pyloric stenosis. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization.

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They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. In men, exposure to lead can reduce both sex drive and sperm count. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. The results of these tests help determine the best fertility treatment.