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Delayed conception and active and passive smoking. The recourse for these specimens is to remove the seminal fluid by successive media washes.

Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Everyone was so helpful and here for all our questions, worries, etc. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects.

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Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. A low testosterone level with a low FSH level signals a secondary cause. 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. Exercise: Both too much and too little exercise can lead to fertility problems.

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The more fetuses there are, the higher the risk of premature labor. Spermiogenic defects may also be a cause of sterility.

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The percentage of body fat should be greater than 22% to permit regular ovulatory cycles. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older.