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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. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles.

0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. Delayed conception and active and passive smoking.

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Due to the transfer of several embryos, there is the danger of multiple pregnancies. This technique involves an injection of a single healthy sperm directly injected into mature egg. Chemotherapy: Some types may significantly reduce sperm count. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production.

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The endometrium can be damaged from previous curettages or infections like endometritis. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Segmental dysplasia is defined as a vas deferens with at least 2 distinct sites of vasal obstruction. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Today, many patients do not receive the recommended medical care that based on the best available evidence [5].

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But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. If a woman needs an HCG injection to activate ovulation and ultrasound scans show that too many follicles have developed, it is possible to withhold the HCG injection. Up to 2 percent of men are thought to have suboptimal sperm. 4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Defects of tubules that transport sperm There are many different tubes that carry sperm. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Some women experience a few days of light flow, while others regularly experience heavy periods and painful cramps. You have never had a period, or periods suddenly stop.