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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. On the other hand, excess weight can also create ovarian dysfunctions. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972.

Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Have you had any sexually transmitted infections or abnormal pap smears? Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989.

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It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Checking testosterone levels is advisable because an elevation above the reference range has a negative feedback effect on sperm production. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. A relationship also exists between obesity and erectile dysfunction (ED). Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism.

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Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. For women over age 35, that timeline is reduced to six months. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Investigations Infertile couples are usually adviced to start their investigations after 12 months of trying to conceive or after 6 months if the female partner is more than 35 years old or immediately if there is an obvious cause for their infertility or subfertility [16].