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As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Chronic conditions: These include AIDS or cancer. It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved.

Infertility treatments are expensive and often not covered by insurance-this could deter lower Source : Demographic data evaluation.: fertility measures PPT Presentation Summary : COVENANT UNIVERSITY DEPT. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts.

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Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. In general, infertility is defined as the inability of couples to achieve pregnancy after ≥1 year of trying (1). Treatment of tubal obstruction generally requires referral for subspecialty care.

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Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. This indicates whether the fallopian tubes are open or blocked.

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. Sperm are then collected, washed, and added to the eggs in the dish. As an antiestrogen, CC requires that the patient have some circulating estrogen levels; otherwise, the patient will not respond to the treatment. Conditions including PCOS, the presence of excess prolactin, or premature ovarian failure can create ovulation disorders.  Tubal occlusion  According to other research, fallopian tube disorders lead to between 35 and 40 percent of infertility cases. Medical conditions Some medical conditions can affect fertility. These medicines are listed below: sulfasalazine – an anti-inflammatory medicine used to treat conditions such as Crohn's disease and rheumatoid arthritis; sulfasalazine can decrease the number of sperm, but its effects are temporary and your sperm count should return to normal when you stop taking it anabolic steroids – are often used illegally to build muscle and improve athletic performance; long-term abuse of anabolic steroids can reduce sperm count and sperm mobility chemotherapy – medicines used in chemotherapy can sometimes severely reduce sperm production herbal remedies – some herbal remedies, such as root extracts of the Chinese herb Tripterygium wilfordii, can affect the production of sperm or reduce the size of your testicles Illegal drugs, such as marijuana and cocaine, can also affect semen quality. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.