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Chemotherapy: Some types may significantly reduce sperm count. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo.

Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.

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Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts.

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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Ovulation occurs about two weeks before a woman’s next period starts.

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Afterward, the embryos are incubated again and then transferred to the cavum uteri of the woman. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. In the body, testosterone circulates 2% in the free form, 44% bound to sex hormone–binding globulin (SHBG), and 54% bound to albumin. Some of the features include: Visual magnification — use of a large viewing screen improves visibility Stabilization — Electromechanical damping of vibrations, due to machinery or shaky human hands Simulators — use of specialized virtual reality training tools to improve physicians' proficiency in surgery [33] Reduced number of incisions There has been a distinct lack of disclosure regarding nano-scale developments in keyhole surgery and remote medicine, a "disparity of disclosure" which does not correlate with the rapid advancements in both the medical and nanotechnology fields over the last two decades.[citation needed] Robotic surgery has been touted as a solution to underdeveloped nations, whereby a single central hospital can operate several remote machines at distant locations. The reduced release of gonadotropin is often triggered by stress, physical strain such as high-performance sports, and anorexia nervosa. This may reflect an unknown immunological incompatibility or other unknown problem with fertilization or implantation. The number of days in between each period varies each month. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Medical conditions Some medical conditions can affect fertility. 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.