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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. The woman may be given a low dose of ovary stimulating hormones.

Practice Committee of American Society for Reproductive Medicine. Patients with less than of 14% normal forms had a substantially reduced success rate. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. The hypothalamus also produces thyrotropin-releasing hormone (TRH) and vasoactive intestinal peptide (VIP), both of which stimulate prolactin release from the anterior pituitary, and dopamine, which inhibits prolactin release. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. 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.

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Other hormones including inhibin B and leptin, may also be affected by obesity. Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

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The epididymis is a coil-like structure in the testicles which helps store and transport sperm. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. If you and your partner agree, extra embryos can be frozen and saved to use later. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide. Breeding with a proven fertile male must occur at the optimal time for the female. Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation.