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Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. As a woman gets older, the number of her eggs decreases rapidly.

Optimizing natural fertility: a committee opinion. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment.

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These time intervals would seem to be reversed; this is an area where public policy trumps science. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.

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Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. 4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. Clomiphene citrate for unexplained subfertility in women. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse.

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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. The risk of ovarian hyperstimulation syndrome and multiple pregnancy is heightened; therefore, hMG should be started at the minimal dose (75 IU SC qd for 7 days). Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. Supplementation with acetyl L carnitine and antioxidants such as Vitamins C or E are encouraged to enhance sperm maturation and function. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Success rates with IVF procedure are approximately 20% per egg retrieval (approximately 20 couples out of every 100 who try one retrieval with IVF are likely to achieve pregnancy and delivery).