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Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Depending on the sperm count, the couple is advised to have intercourse near the time of ovulation or to proceed with intrauterine insemination. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility.

Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. In cases of poor sperm quality, intrauterine insemination can be performed.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Corticosteroids are usually used to reduce the production of testosterone. Being obese or overweight: This can increase the risk of infertility in women as well as men. The only known risk factor for Klinefelter syndrome is advanced maternal age. To help objectify sperm morphology and therefore enhance the consistency and reproducibility among laboratories, Kruger introduced a definition of "strict criteria" in 1986.

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Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Negative tests with immotile sperm in the cervical mucus suggest rare immunological causes of sterility.

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Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Although the XXY pattern is observed in the spermatogonia and primary spermatocytes, many of the secondary spermatocytes and spermatids have normal patterns. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Passive smoking has also been linked to lower fertility. Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. Patients with this type of uterus can have a normal term pregnancy. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group.