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Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. The emotional toll on both partners can affect their relationship.

It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. The problem is getting the sperm where they need to go.

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Psychological/Physical/Behavioral Problems: Several sexual problems exist that can affect male fertility.  These problems are most often both psychological and physical in nature:  it is difficult to separate the physiological and physical components. Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Abnormal head shapes are described as tapered, duplicated, small, large, amorphous, or pyriform.

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Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Maternal age Infertility due to age is one of the most common causes of female infertility. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. Lack of ovulation Patients with anovulation who did not ovulate after several cycles of CC at different doses of treatment are deemed clomiphene resistant.

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3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Some large breeds of dogs may not have their first estrus until they are ≥2 yr old, and some individuals and some breeds typically have only one estrous cycle each year. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. In 1978, the first baby was born as a result of IVF. Thoracentesis is rarely indicated in cases of pleural effusion. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Women in group III can conceive only with oocyte donation and in vitro fertilization. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. This technique involves an injection of a single healthy sperm directly injected into mature egg. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman.