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Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Health problems such as mumps or hormone problems. Donor semen should be free from any STI-producing organisms, including HIV. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg.

Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Infertility service use in the United States: data from the National Survey of Family Growth, 1982–2010. In many instances, more than one hysteroscopy is required for total resection. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. These and many other questions will help your physician design a specific evaluation and potential treatment for you. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. ED may be the consequence of the conversion of androgens to estradiol.

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If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. Unlike women, whose fertility significantly declines after the age of 35, men’s fertility doesn’t decline until they are much older. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis.

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Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. This may partly be due to the fact that the average age at which women give birth to their first child also keeps rising because of occupational preferences and longer periods of education. Erectile dysfunction, vaginismus (painful involuntary spasm of vagina preventing intercourse) and dyspareunia (pain during sexual intercourse) can explain involuntary childlessness in some couples. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. Surgery or embolization for varicoceles in subfertile men.