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Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994.

Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Because the sperm have a short life span outside the human body, the semen specimen must be evaluated within a short time frame. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995.

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The evaluation of the azoospermic male: AUA best practice statement. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. However, for women with moderate to severe endometriosis, surgical treatment then assisted reproductive therapy can be offered.

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The results of these tests help determine the best fertility treatment. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. There are numerous conditions that can contribute to infertility in men and women. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave.