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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. The embryo is then placed in the uterus to begin a pregnancy.

Further investigations may be requested according to the clinical presentation and the results of preliminary tests. If the egg does not travel, it can be harder to conceive naturally.

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Checking testosterone levels is advisable because an elevation above the reference range has a negative feedback effect on sperm production. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. It is more successful in women who have previously been pregnant.

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Overweight or obesity: This may reduce the chance of conceiving. In some couples who have been unable to reproduce, tests fail to find the cause of infertility. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009.

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If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Checking the woman’s fallopian tubes to make sure they are not blocked. It is important to undergo a thorough fertility evaluation to determine the problem. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes. If oligospermia or azoospermia is noted, hypogonadism should be suspected. In terms of deliveries per egg retrieval, GIFT has a higher success rate than IVF regardless of the woman’s age – approximately 28%. Laparotomy with histopathology is usually indicated, because medical attempts at inducing ovulation (human chorionic gonadotropin, FSH, GnRH) are usually unrewarding. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0.