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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. A small number of specimens have acceptable original concentrations of motile sperm but poor recoveries with the gradient system. But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods.

2012;27(8):2396–2404.   Want to use this article elsewhere? Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Fluctuations in hormone levels can cause: unexplained weight gain severe acne cold feet and hands reduced sex drive or loss of sexual desire nipple discharge facial hair in females thinning hair on the top of the head Underlying medical conditions Other contributing factors that may affect fertility in women include: damage to the fallopian tubes or ovaries premature menopause PCOS endometriosis cancer and cancer treatments Obesity A 2018 study found that obesity might negatively affect reproductive health. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990.

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Unfortunately, there are some forms of male infertility that are not treatable. Immotility of the sperm can be caused by antibodies against the sperm. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.

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When one year of sexual relationships without birth control measures has not lead to a pregnancy. Male infertility refers to a male’s inability to cause a pregnancy in a fertile female.   Causes vary.   Testing is available.   Medication or surgery. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001.

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Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. This relatively simple test involves the man providing a semen sample for a lab to evaluate. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. Ap cells mature into B spermatogonia, which then undergo mitotic division to become primary spermatocytes, which are recognized by their large centrally located nuclei and beaded chromatin. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.