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Preconception lifestyle advice for people with subfertility. The abdomen is usually insufflated with carbon dioxide gas. In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989.

If a woman has an ovulation disorder, she may ovulate infrequently or not all. It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect. Ovulation usually occurs within the 32-40 hours after the indicative color change.

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Many couples with infertility issues go on to have successful pregnancies. In my case, the inability to conceive was the result of a condition called stage 4 endometriosis. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. 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.

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Physical Problems A variety of physical problems can cause male infertility.  These problems either interfere with the sperm production process or disrupt the pathway down which sperm travel from the testes to the tip of the penis.  These problems are usually characterized by a low sperm count and/or abnormal sperm morphology.  The following is a list of the most common physical problems that cause male infertility: Variocoele: A varicocele is an enlargement of the internal spermatic veins that drain blood from the testicle to the abdomen (back to the heart) and are present in 15% of the general male population and 40% of infertile men.  These images show what a variocoele looks like externally and internally.  A varicocele develops when the one way valves in these spermatic veins are damaged causing an abnormal back flow of blood from the abdomen into the scrotum creating a hostile environment for sperm development.  Varicocoeles may cause reduced sperm count and abnormal sperm morphology which cause infertility.  Variococles can usually be diagnosed by a physical examination of the scrotum which can be aided by the Doppler stethoscope and scrotal ultrasound.  Varicocoele can be treated in many ways (see treatment section), but the most successful treatments involve corrective surgery. Intra-uterine insemination for unexplained subfertility. Couples will have to consider the ethical and emotional aspects of this procedure. It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy.

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Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Transrectal ultrasonography (TRUS) may reveal enlarged seminal vesicles, but this is not universal. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors. This page covers the possible causes of infertility in men and women. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).