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In the United Kingdom, it is estimated that one in six couples would complaint of infertility [3]. Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60.

For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage.

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It’s common for couples to experience issues with infertility. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. Other considerations include preconception screening and vaccination for preventable diseases such as rubella and varicella, sexually transmitted infections, and cervical cancer, based on appropriate guidelines and risk. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic.

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Understanding the normal reproductive process is essential in knowing when to seek help. Microscopic Vasoepididymostomy: Specific Microanastomosis to the Epididymal Tubule. (PDF, 15 MB) Fertility and Sterility, 1978.

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8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. The woman may be given a low dose of ovary stimulating hormones. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. These numbers are comparable to those of other industrialized nations.