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Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. He and his wife underwent needle sperm extraction and in vitro fertilization, but it was unsuccessful. “I feel bad mostly because my wife wants a baby so bad and it is the one thing I can't give her,” Steve says. “This has been a tough thing for the two of us.” They are currently looking into adoption. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM).

However, there are various scenarios where one may be advised to seek help earlier. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Reduced hormones may result, which could potentially translate into trouble conceiving.

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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. A systematic review of tests predicting ovarian reserve and IVF outcome.

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Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. Surgery or embolization for varicoceles in subfertile men. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture.

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Types of Infertility There are two types of infertility: primary and secondary. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation.