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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. In 10% of cases, alterations in the chemical signals from the hypothalamus can easily seriously affect the ovaries.

Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. It is important to tell a doctor if excessive mental and emotional stress develop.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid.

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Learn what factors can influence your fertility and whether to consider seeking medical help. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices.

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Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. A complete pelvic exam should reveal any uterine hypoplasia, fibroids, adnexal tumors or cervical lesions and should indicate whether dyspareunia may be a problem. Malformation of the eggs themselves may complicate conception. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. An ultrasound scan can detect an ectopic pregnancy. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. The doctor may ask about the couple's sexual habits and make recommendations regarding these.