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Management of the infertile couple: an evidence-based protocol. 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.

Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Infertility treatment  Current problems with conception won’t necessarily stop you from starting a family in the future. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977.

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Issues with the regulation and production of reproductive hormones are a potential cause. Infertility treatments are expensive and often not covered by insurance-this could deter lower Source : Demographic data evaluation.: fertility measures PPT Presentation Summary : COVENANT UNIVERSITY DEPT. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. These assistance devices are not bound by the restrictions of common medical robotic systems.

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Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Do you have pain with menstrual periods or intercourse? Vascular injuries can result in hemorrhage that may be life-threatening. If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options.

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Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Factors affecting Fertility Caffeinated beverages: - No evidence on effect of caffeine on fertility. Alcohol - Female patients should be informed that 1 or 2 units of alcohol once or twice per week reduces risk of harming a developing fetus. - Intoxication may affect semen quality. In cases of poor sperm quality, intrauterine insemination can be performed. Homologous insemination refers to the use of sperm from the patient's partner. Causes of infertility and sterility in men The male factor is difficult to evaluate because sperm analyses do not always indicate if there is a problem or not. Medicines and drugs Certain types of medicines can sometimes cause infertility problems. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Overweight or obesity: This may reduce the chance of conceiving. Paternal age > or = 40 years: an important risk factor for infertility. Continued For some men, no male infertility treatments seem to help. The acrosome, a derivative of the Golgi process, surrounds the nucleus anteriorly and contains enzymes necessary to penetrate the ovum. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women.