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Low weight: Obesity is not the only way in which weight can impact fertility. Orchitis The most common cause of acquired testicular failure in adults is viral orchitis, such as that caused by the mumps virus, echovirus, or group B arbovirus. Treatment of tubal obstruction generally requires referral for subspecialty care. 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. In addition to a careful history, a physical evaluation may also be performed.

On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Thus, an intravenous pyelogram must be performed once this diagnosis is made. Women who are at risk, including those on a vegan diet, should ask the doctor about supplements.

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Gynecological history, including operations and medical treatment. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. A bicornuate uterus is characterized by the presence of an indentation at the fundus.

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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. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. High-cost treatments are out of financial reach for some couples.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. This test measures the ability of the sperm to penetrate a specially prepared egg from an animal, usually a hamster. Intra-uterine insemination for male subfertility. A bicornuate uterus can be associated with a history of recurrent miscarriages, and its repair is indicated only if other etiologies for the miscarriage have been excluded (see Surgical intervention below). 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture. The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. ED may be the consequence of the conversion of androgens to estradiol. The success rate of IVF for live birth is 40% among women under 35 years of age. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.