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Around one third of couples have difficulty conceiving due to a low sperm count. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs. He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. Government, the Department of Defense, or the Department of the Air Force. Which drug can be used for induction of ovulation? Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion. A man’s age significantly affects coital frequency and sexual function.

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Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos.

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In 1978, the first baby was born as a result of IVF. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. 7 million women reported impaired ability to get pregnant or carry a baby to term. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. It is important to tell a doctor if excessive mental and emotional stress develop.

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Other causes may include: Genetic factors: A man should have an X and Y chromosome. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine. ZIFT is often called “tubal embryo transfer.” As with IVF, the actual fertilization of the eggs is observed and confirmed in the laboratory. Find an IVF Doctor  |  Free IVF Class  | Class Testimonials 5) Third party reproduction: This is a general reference to a general process where another person provides sperm or eggs, or where another woman acts as a gestational surrogate, with the purpose of helping another person or couple have a child. Obesity and increased risk for oligozoospermia and azoospermia. NIH: National Institute of Child Health and Human Development Start Here How Common is Male Infertility, and What Are Its Causes? (National Institute of Child Health and Human Development) Male Infertility (American Academy of Family Physicians) Also in Spanish Male Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Diagnosis and Tests Diagnostic Testing for Male Factor Infertility (American Society for Reproductive Medicine) - PDF Also in Spanish Semen Analysis (National Library of Medicine) Also in Spanish Testosterone Levels Test (National Library of Medicine) Also in Spanish Treatments and Therapies Assisted Reproductive Technology: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish Healthy Sperm: Improving Your Fertility (Mayo Foundation for Medical Education and Research) Also in Spanish Intracytoplasmic Sperm Injection (ICSI) (American Society for Reproductive Medicine) Also in Spanish Intrauterine Insemination (IUI) (Mayo Foundation for Medical Education and Research) Also in Spanish What Treatment Options Are Available for Male Infertility? (National Institute of Child Health and Human Development) Living With Foods That Can Affect Fertility (Academy of Nutrition and Dietetics) Related Issues Fertility Issues in Boys and Men with Cancer (National Cancer Institute) Finasteride (Propecia/Proscar) and Pregnancy (Organization of Teratology Information Specialists) - PDF Low Testosterone and Men's Health (Hormone Health Network) Also in Spanish Optimizing Male Fertility (American Society for Reproductive Medicine) Specifics Dry Orgasm (Orgasm without Discharge of Semen) (Mayo Foundation for Medical Education and Research) Also in Spanish Low Sperm Count (Mayo Foundation for Medical Education and Research) Also in Spanish Sperm Shape (Morphology): Does It Affect Fertility? (American Society for Reproductive Medicine) Also in Spanish Genetics Genetics Home Reference: 48,XXYY syndrome (National Library of Medicine) Genetics Home Reference: CATSPER1-related nonsyndromic male infertility (National Library of Medicine) Genetics Home Reference: congenital bilateral absence of the vas deferens (National Library of Medicine) Genetics Home Reference: globozoospermia (National Library of Medicine) Genetics Home Reference: macrozoospermia (National Library of Medicine) Genetics Home Reference: sensorineural deafness and male infertility (National Library of Medicine) Genetics Home Reference: X-linked adrenal hypoplasia congenita (National Library of Medicine) Genetics Home Reference: Y chromosome infertility (National Library of Medicine) Learning about Klinefelter Syndrome (National Human Genome Research Institute) Videos and Tutorials Causes of Male Infertility (American Society for Reproductive Medicine) Sperm release pathway (Medical Encyclopedia) Also in Spanish Statistics and Research High Plasticizer Levels In Males Linked to Delayed Pregnancy for Female Partners (National Institute of Child Health and Human Development) Infertility Research at the NICHD (National Institute of Child Health and Human Development) Clinical Trials ClinicalTrials.gov: Infertility, Male (National Institutes of Health) ClinicalTrials.Differences between sterility and infertility (primary and secondary) ARE STERILITY AND INFERTILITY THE SAME?