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3  Sometimes, a couple who’ve already had a child can have trouble conceiving again. Obesity Research from 2015 noted that many studies link obesity in men with infertility.

Factors effecting normal expectancy of conception. 40 Patients using these agents should be counseled about these risks. Trauma Testicular trauma is the second most common acquired cause of infertility. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. This can help a man who cannot ejaculate normally, for example, because of a spinal cord injury.

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Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. The chance of a multiple birth is lower with an oral fertility drug. 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. Fertility: assessment and treatment for people with fertility problems. Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology.

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It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. A systematic review of tests predicting ovarian reserve and IVF outcome. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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The cystic fibrosis transmembrane regulator (CFTR) protein plays a role in mesonephric duct development during early fetal life, so these patients may also have urinary tract abnormalities. Symptoms can also depend on what is causing the infertility. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Additional information regarding infertility is available at . View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ).