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Women with obesity have a lower probability of conceiving and are at a higher risk for issues during pregnancy than those without weight issues. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977.

Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Excess alcohol consumption: This may lower male fertility. Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981.

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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Other hormones including inhibin B and leptin, may also be affected by obesity. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. There is no reliable means to predict whether the use of any treatment option will be successful and after how many attempts.

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The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. It is important to establish whether or not the couple really wants to have a child. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Patients present with oligospermia but have LH levels within the reference range. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. They are very common (approximately 40% of women have them them). About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older.