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In these methods, fertilization occurs inside the body. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Overweight or obesity: This may reduce the chance of conceiving. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.

There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. The majority of men with varicocele present no symptoms. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes.

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European Association of Urology guidelines on male infertility: the 2012 update. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.

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Perspectives on infertility consultations in primary care: a qualitative study. Issues with the regulation and production of reproductive hormones are a potential cause. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

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Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Some uterine and tubal abnormalities, such as adhesions, uterine septum, or fibromyoma, may be corrected by surgical procedures. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. The bladder must be emptied 1 hour prior to sperm collection, and a second dose of sodium bicarbonate is taken along with 16 ounces of fluid. Before performing a tubocornual anastomosis, the patient should have a diagnostic laparoscopy associated with tubal cannulation by hysteroscopy. [139, 140, 141] If one tube remains open, anastomosis is not needed because pregnancy can be achieved in 50% of cases. In addition, fertility treatments can be associated with health problems for women and resulting children (2), especially those related to the increased risk for multiple gestation. This diagnosis is therefore shared by 15% of couples attempting to conceive.