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The couple should have sex at least every two days between the 10th and 18th day after the woman starts her period. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

The opening improves the ability of the embryo to implant into the uterine lining. Endometriosis (especially if chronic), uterine fibroids (myomas), or an abnormally-shaped uterus might interfere with conception as well.  Age  As women grow older, it usually becomes more challenging for them to conceive. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996. A laparoscopy can check the ovaries, fallopian tubes, and uterus for disease.

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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. There are some common risk factors that can increase the likelihood of a man experiencing some form of reversible or permanent infertility. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.

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Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter.

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Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Sex any time in the five days before ovulation can create a pregnancy. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Cervical surgery can sometimes cause scarring or shortening of the cervix.