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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia).

Most of infertile couples are aware of what can be offered to them from the media. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. It is further sub-divided into primary and secondary sterility.

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Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. In such cases, the vas deferens connecting the testicle and prostate is not formed. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility.

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Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation.

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Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Mixed gonadal dysgenesis (45, X/46, XY) Patients usually have ambiguous genitalia, a testis on one side, and a streaked gonad on the other. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. But the question that should be answered one day is: will the output quality be compromised with such approach? Limits were placed on language and human race as well. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Changes in testicles Healthy testicles are an important aspect of male fertility.