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The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2].

The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. Overweight or obesity: This may reduce the chance of conceiving.

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Contents Definition[edit] "Demographers tend to define infertility as childlessness in a population of women of reproductive age," whereas "the epidemiological definition refers to "trying for" or "time to" a pregnancy, generally in a population of women exposed to" a probability of conception.[8] Currently, female fertility normally peaks at age 24 and diminishes after 30, with pregnancy occurring rarely after age 50.[9] A female is most fertile within 24 hours of ovulation.[9] Male fertility peaks usually at age 25 and declines after age 40.[9] The time needed to pass (during which the couple tries to conceive) for that couple to be diagnosed with infertility differs between different jurisdictions. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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In 1978, the first baby was born as a result of IVF. Some physical effects may also result from treatment. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. If a blockage is present, surgery may be necessary.

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Breeding with a proven fertile male must occur at the optimal time for the female. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Linthicum, Md.: American Urological Association, Inc.; 2010.