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Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. It stimulates the ovaries to mature egg follicles. Sperm are then collected, washed, and added to the eggs in the dish. Assisted conception The following methods are currently available for assisted conception.

Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Antibodies can abnormally attack a man's own sperm on their way to the egg.

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Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult.

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For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Additionally, multiple pregnancies cumulatively occur after ovarian stimulation.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. These include: Infrequent menstrual periods: When a woman has regular menstrual periods, defined as regular cycles occurring every 21 to 35 days, this almost always indicates that she ovulates regularly. It must be noted that both laparoscopy tubal ligations and cholecystectomies may be performed using suturing and tying, thus further reducing the expensive cost of single and multiclips (when compared to suture). Obesity and increased risk for oligozoospermia and azoospermia. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. The mitotic division does not result in complete separation; rather, daughter cells maintain intracellular bridges, which have functional significance in cell signaling and maturation. In fact, endometriosis accounts for roughly 20 to 40 percent of women’s infertility issues.  Pain during sex: Painful sex for women is so normalized that many think it’s just a part of life. Further investigations Investigation of suspected tubal and uterine abnormalities: 1. A detailed history and physical examination is necessary for both partners.