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Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Sperm can survive as long as 5 days in the female genital tract. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. No difference in the pregnancy rate occurs if a skillful microsurgeon or laparoscopist performs the salpingostomy.

About 10% of reproductive age women are affected by endometriosis. Signs of infertility in women In women, signs of infertility may include: Pain during sex Pain during sex, or dyspareunia, can be a sign of an underlying health problem that may influence a woman's fertility. The chance of a multiple birth is lower with an oral fertility drug. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Obesity can increase the risk for other conditions that may impact a man's fertility such as sperm quality and sexual dysfunction. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Your physician will discuss these approaches to having a baby if appropriate to your particular case. These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. Heavy, long, or painful periods Heavy periods may indicate an underlying condition affecting fertility.

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ART techniques generally start with stimulating the ovaries to increase egg production. The testicular-epididymal component includes sperm and comprises about 5% of the ejaculate volume.

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Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. Treatment of tubal obstruction generally requires referral for subspecialty care. Infertility in Men Below you will find a list of some of the most common causes of infertility in men. A systematic review of tests predicting ovarian reserve and IVF outcome. Known male factor semen abnormalities: If a male partner has a history of infertility with a prior partner, or if there are abnormalities on his semen analysis, then we advise earlier fertility evaluation, ideally within 6 months of attempting pregnancy. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.