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This is taken from the vaginal vault as well as from the cervical canal. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Judaism and Repoductive Technology. (PDF, 160 KB) 2003. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12].

Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. Hysteroscopy can also be combined with laparoscopy when necessary. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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If they're damaged, it can seriously affect the quality of your semen. Undescended testicle may be isolated or may be observed as part of a syndrome such as prune belly syndrome. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.

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Some women are infertile because their ovaries do not mature and release eggs. The chance of a live birth following treatment is nearly 50% [25].

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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Fertility Evaluation: General and Gynecological Examination For women, a visual evaluation of hair distribution and of body and breast development can indicate endocrinopathy or various development deficiencies. A mouse study has suggested that ingredients in some household detergents may reduce fertility. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Varicocele: Surgically removing a varicose vein in the scrotum may help. 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. Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. The endometrium can be damaged from previous curettages or infections like endometritis. A bicornuate uterus can be associated with a history of recurrent miscarriages, and its repair is indicated only if other etiologies for the miscarriage have been excluded (see Surgical intervention below). High-cost treatments are out of financial reach for some couples. Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). A low testosterone level with a low FSH level signals a secondary cause. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.