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The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. There are numerous conditions that can contribute to infertility in men and women. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. The agents most often associated with infertility are the alkylating agents such as cyclophosphamide.

Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Being obese or overweight: This can increase the risk of infertility in women as well as men.

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Chemotherapy: Some types may significantly reduce sperm count. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. Also, parotitis o mumps associated with male infertility when it happens during adolescence. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Intercourse 2 or 3 times per week may be considered average, although the frequency varies.

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8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

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Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. The medical industry is forever making advances in this field. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. If oligospermia or azoospermia is noted, hypogonadism should be suspected. Chemotherapy: Some types may significantly reduce sperm count. In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Contents Types[edit] Cholecystectomy as seen through a laparoscope There are two types of laparoscope:[2] a telescopic rod lens system, usually connected to a video camera (single chip or three chip) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing traditional fiberscopes. Diagnostic evaluation of the infertile female: a committee opinion. A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. The test is rated positively when motile sperm can be proved in the mucus. These patients are often tall and severely oligospermic or azoospermic.