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If the egg does not travel, it can be harder to conceive naturally. 7 million women reported impaired ability to get pregnant or carry a baby to term. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Females[edit] The following causes of infertility may only be found in females.

Female and male factors are equally responsible for infertility. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974.

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Ovulation should be documented by serum progesterone level measurement at cycle day 21. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis.

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Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. This applies to the ability to conceive with her eggs, but not with donor eggs. 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. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. 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.

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Normal motility is defined as more than 60% of sperm having normal movement, and the WHO 2010 lower reference limit (5th percentile) is 40%. After 3-6 hours, the sperm is added to the oocytes. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. Spermatogonia and Sertoli cells lie on the basement membrane of the seminiferous tubules. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. Not being able to father a child can make a guy feel like he’s failing at one of his most primal responsibilities. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.