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8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. Treatment Treatment will depend on many factors, including the age of the person who wishes to conceive, how long the infertility has lasted, personal preferences, and their general state of health.

Functional sperm that are present may have a normal karyotype. Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9].

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Urinary monitoring of the LH surge (eg, with an LH Predictor Kit) can be a substitute for BBT. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.

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It is important to tell a doctor if excessive mental and emotional stress develop. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Polyps and submucous fibroids can be removed during this procedure. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Some systems are lightweight constructions (18 kg) and can withstand a force of 20 N in any position and direction. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. These numbers are comparable to those of other industrialized nations. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Normal cervical mucus to allow passage of the sperm to the upper genital tract. The dynamics of stress in fertile and infertile couples.