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If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. These numbers are comparable to those of other industrialized nations.

As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Exogenous testosterone should never be administered in an attempt to boost sperm production because it actually decreases intratesticular testosterone levels owing to feedback inhibition of GnRH release. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Practice Committee of American Society for Reproductive Medicine.

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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. In order to maximize the patient’s chances for successful fertilization, physicians typically use ovarian stimulation medications rather than using the single egg normally developed each cycle.

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8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Causes of Sterility in Women In women, the classification of possible causes is much more complex.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. This prevents the sperm from fertilizing the egg. After 3-6 hours, the sperm is added to the oocytes. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs.