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Studies show that the IUI is most successful when it is coupled with fertility drugs to enhance ovulation, with success rates between 5% and 20% per cycle. 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. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Most often, the problem lies in the process of either making or moving thesperm. Sherban and his staff are the most amazing, compassionate, and supportive people.

Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Terra Cotta Ave (Rte 176) Suite 118 Crystal Lake, IL 60014 Phone: (815) 356-1818 Fax: (815) 356-1866 4920 N. The elevation in the temperature is indicative of ovulation. Irregular periods The average woman’s cycle is 28 days long.

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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. A relationship also exists between obesity and erectile dysfunction (ED). About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older.

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If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. 47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. These are both treatment options for microprolactinoma. The chance of a live birth following treatment is nearly 50% [25]. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina.

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We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. This seems to result in a significant improvement in fertility, although some studies disagree. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. Testicular neoplasia, commonly producing estrogen, usually causes infertility. It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect.