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View Media Gallery FSH and LH, glycopeptides with a molecular weight of 10,000 Daltons, are each composed of an alpha chain that is identical to that of human chorionic gonadotropin (hCG) and thyroid-stimulating hormone (TSH), but with a beta chain that is unique for each. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation. To reach timely ovulations, ovulation triggers are combined with chorionic gonadotropin (beta-HCG). When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

Overweight or obesity: This may reduce the chance of conceiving. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981.

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However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Around one third of couples have difficulty conceiving due to a low sperm count. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility.

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Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Diagnosis of Sterility An important part of the diagnosis is a detailed anamnesis and the routine gynecologic examination. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Around one third of couples have difficulty conceiving due to a low sperm count. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others.

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Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. 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. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. CAH may be due to the congenital deficiency of one of several adrenal enzymes, the most common of which is 21-hydroxylase deficiency. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others.