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Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs.

Trauma Testicular trauma is the second most common acquired cause of infertility. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. A man’s age significantly affects coital frequency and sexual function. In younger women taking them at lower doses for a short period of time, fewer adverse effects are noted. If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required.

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In women with anovulation, it may be an alternative after 7 - 12 attempted cycles of pituitary feedback regimens (as evidenced by clomifene citrate), since the latter ones are less expensive and more easy to control.[18] In vitro fertilization[edit] The standard procedure of in vitro fertilization includes controlled ovarian hyperstimulation with gonadotropins, but in larger doses, with the intention to induce development of supernumerary follicles. In this article, learn about signs of infertility in both men and women, as well as when to see a doctor.

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However, if the woman has previously been pregnant, regardless of the outcome (which may have been a premature or full-term delivery, spontaneous abortion, induced abortion or ectopic pregnancy), and is now unable to conceive, it is considered secondary infertility. Hypospadias: The urethral opening is under the penis, instead of its tip. Women ovulate — send an egg down into the uterus — once a month. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. Although tubal disease was the original indication for IVF, many more indications have developed over the years. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues.