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An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. It may also prevent the sperm from reaching the egg. Obesity can increase the risk for other conditions that may impact a man's fertility such as sperm quality and sexual dysfunction.

The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Sperm production problems One of the most common causes of male infertility is problems with sperm production. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being.

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Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. One-third of couples will discover fertility problems in only the woman. Prior to Mühe, the only specialty performing laparoscopy on a widespread basis was gynecology, mostly for relatively short, simple procedures such as a diagnostic laparoscopy or tubal ligation. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Malformation of the eggs themselves may complicate conception.

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Polycystic ovary syndrome (also known as Stein-Leventhal syndrome) and hyperprolactinemia can also cause anovulatory cycles through hormonal imbalances.[1][2] Functional problem[edit] This accounts for around 10-15% of all cases of anovulation. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Sertoli cells also secrete inhibin, which provides negative feedback on the hypothalamus, and androgen-binding protein, which helps modulate androgen activity in the seminiferous tubules. 37 Clomiphene has also proven effective for ovulation induction in women with polycystic ovary syndrome. A relationship also exists between obesity and erectile dysfunction (ED). Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008.