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A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Other conditions that affect the quality and quantity of sperm include: Primary testicular failure.

Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic.

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17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Other factors, such as luteal phase defect or production of anti-sperm antibodies. Prolonged anestrus may be congenital or acquired.

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Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Diagnosis requires a physical examination and semen analysis What is infertility? Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). A doctor injects sperm directly into the egg in a dish and then places it into your uterus. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments.