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Polycystic ovary syndrome causes infrequent periods or a total absence of them and is the most common cause of anovulation (an absence of ovulation). Causes of this kind of infertility include: Retrograde ejaculation. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. After 3-6 hours, the sperm is added to the oocytes. Most of infertile couples are aware of what can be offered to them from the media.

If you suspect you are infertile, see your doctor. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Sperm count often returns to normal after stopping the medication. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor.

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Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Factors effecting normal expectancy of conception. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992.

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A sperm count of under 15 million is considered low. Some women are infertile because their ovaries do not mature and release eggs. It is hoped that the standardized approach presented here will go some way towards countering this major problem.LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Government, the Department of Defense, or the Department of the Air Force. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family.

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The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Causes It is estimated that infertility affects 1 in 7 heterosexual couples in the UK. In about 40% of cases disorders are found in both the man and the woman. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Some medications increase the risk of fertility problems in men. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.