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A majority of the results are in the normal range here which is why it is also called idiopathic sterility. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

If both tubes are blocked, then in vitro fertilization (IVF) is required. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.

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Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Also possible is increased body mass and facial hair, which is relatively easy to treat, and is often associated with PCOS, or polycystic ovary syndrome. Factors affecting Fertility Low body weight - Women with BMI less than 19 and irregular menstruation should be counselled to gain weight. Smoking - Strong association between smoking and fertility in both partners. - Affects success rates of ARTs.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998.

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Only an additional 7% of couples will conceive in the second year. Use of clomiphene citrate in infertile women: a committee opinion. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Especially in men, psychological explanations should be considered as they are frequently the cause of sexual dysfunctions. Up to 25% of infertile men have idiopathic infertility. Men can still ejaculate with a low sperm count or poor-quality sperm. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008.