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The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation.

After all, the necessity of reproduction is one of the few things on which both Darwin and the Bible agree. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually.

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Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization.

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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. As the duration of treatment prolonged, psychological suffering is likely to increase [6].

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Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. To avoid this complication, the circulating nurse must record the amount of distention fluid injected and the amount recovered in the suction device. Perspectives on infertility consultations in primary care: a qualitative study. The Human Fertilization and Embryology Authority, HFEA website.Summary Infertility means not being able to become pregnant after a year of trying. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Measures the LH in urine to detect if and when ovulation has occurred. Infertility, on the other hand, is the inability to successfully carry a baby to term and give birth; i.e., conception is feasible but the pregnancy cannot be completed. The typical indication is the oligoasthenoteratozoospermia here. These medications may help to address male infertility caused by erectile dysfunction.