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According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Out of 100 couples in the United States, 12 to 13 have trouble conceiving. Optimizing natural fertility: a committee opinion. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods.

Varicocele: Surgically removing a varicose vein in the scrotum may help. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. Because cortisol is not secreted, a lack of feedback inhibition on the pituitary gland occurs, leading to adrenocorticotropic hormone (ACTH) hypersecretion.

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Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Treatment of tubal obstruction generally requires referral for subspecialty care.

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Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. Check out our online medical courses and start now for free! If a blockage is present, surgery may be necessary. Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Infertility is caused by primary testicular failure, and most patients are azoospermic. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. In-Vitro Fertilization (IVF) Image: “Assisted Reproductive Technology” by BruceBlaus.