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American Urological Association Education and Research, Inc. The number of days in between each period varies each month. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse.

Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. The mammary glands are also controlled by the pituitary gland, so lactation can also be affected. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. For unknown reasons, as women age, egg numbers decrease at a rapid rate.

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When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Paternal age > or = 40 years: an important risk factor for infertility. Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control.

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Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. To assist in the luteal phase, the patient is given beta-HCG or progesterone.

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However, further testing may include: A general physical exam by a urologist. 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. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. If a blockage is present, surgery may be necessary. Patients with azoospermia or severe oligospermia are more likely to have a chromosomal abnormality (10-15%) than infertile men with sperm density within the reference range (1%). Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.