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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. This technique involves an injection of a single healthy sperm directly injected into mature egg. There are many factors that may be causing your fertility difficulties.

Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. 33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology.

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Most problems are related to premature labor and pregnancy loss. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. Delayed conception and active and passive smoking. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist.

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If too many embryos develop, one or more can be removed. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM). Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Cervical surgery can sometimes cause scarring or shortening of the cervix. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. In the body, testosterone circulates 2% in the free form, 44% bound to sex hormone–binding globulin (SHBG), and 54% bound to albumin. Causes in men The following are common causes of infertility in men. Corticosteroids (usually found in anti-inflammatory drugs) can be used to treat anovulation if it is caused by an overproduction of male hormones by the adrenal glands.