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ART includes all fertility treatments in which both eggs and sperm are manipulated. If the tubes are blocked, the sperm cannot travel into and out of the penis making it impossible for the sperm to ever meet with and fertilize an egg. Some women are infertile because their ovaries do not mature and release eggs. Do you have any medical problems or prior surgeries? Delayed conception and active and passive smoking. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972.

STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response.

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In fact, nearly 1 in 10 people struggle with infertility. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. Some causes can be easily detected and treated, whereas others cannot. A mouse study has suggested that ingredients in some household detergents may reduce fertility. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results.

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Preconception lifestyle advice for people with subfertility. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. The pituitary gland is controlled by the hypothalamus. Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010.