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Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. However, a complete blockage of the ovaries is rarely a cause of infertility.

8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. The male phenotype proves that androgen was present in utero. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation.

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Fluctuations in hormone levels can cause: unexplained weight gain severe acne cold feet and hands reduced sex drive or loss of sexual desire nipple discharge facial hair in females thinning hair on the top of the head Underlying medical conditions Other contributing factors that may affect fertility in women include: damage to the fallopian tubes or ovaries premature menopause PCOS endometriosis cancer and cancer treatments Obesity A 2018 study found that obesity might negatively affect reproductive health. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.

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Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. For those that do not, infertility of either the male or female partner could be the reason. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide. Fertility awareness can help women and couples become more familiar with the signs of ovulation and menstrual cycle patterns. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ).

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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.