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It is important to tell a doctor if excessive mental and emotional stress develop. If oligospermia or azoospermia is noted, hypogonadism should be suspected. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. The sperm is washed in a fluid and the best specimens are selected.

8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995.

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Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Defects of tubules that transport sperm There are many different tubes that carry sperm.

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Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. It can also help if a man has severe erectile dysfunction.

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This procedure is performed in the outpatient setting. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. The pituitary gland produces these hormones, so any problems with this gland may also influence infertility.