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Some women are infertile because their ovaries do not mature and release eggs. Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy.

It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Many health conditions can make it hard to get pregnant. Unfortunately, tubal cauterization destroys a large amount of tissue, so the amount of fallopian tube remaining is often not long enough to facilitate a successful reanastomosis. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

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Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994.

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8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL.

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Maternal age Infertility due to age is one of the most common causes of female infertility. GnRH travels down the portal system to the anterior pituitary, located on a stalk in the sella turcica, to stimulate the release of the gonadotropins, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Sometimes, female infertility is related to a hormone problem. 4 pmol/l for a low response and greater than or equal to 25. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Cervical mucus problems  When you're ovulating, mucus in your cervix becomes thinner so sperm can swim through it more easily. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Intra-uterine insemination for unexplained subfertility.