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The stimulation of follicular maturation is continued with HMG or FSH. Cervical surgery can sometimes cause scarring or shortening of the cervix. Prolonged anestrus may be congenital or acquired.

Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Changes in sexual desire A man’s fertility is also linked with his hormone health.

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6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996.

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Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. To complete a basal temperature curve over 3 cycles can be helpful to identify anovulational cycles. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Chemotherapy Chemotherapy is toxic to actively dividing cells.

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Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. If the cilial epithelium has been destroyed, the outcome of the procedure is poor, and it is better to perform a salpingectomy in preparation for future IVF. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. 40 Patients using these agents should be counseled about these risks. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. 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. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility.