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Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.

Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. However, future pregnancy is possible with the other ovary and tube. Fertility awareness can help women and couples become more familiar with the signs of ovulation and menstrual cycle patterns.

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Laparoscopic techniques have also been developed in the field of veterinary medicine. Small or firm testicles that feel "tight" may be another sign of hormone issues. Diagnostic evaluation of the infertile female: a committee opinion. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days.

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The ovaries can stop working in about 5% of cases. Obesity and increased risk for oligozoospermia and azoospermia. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). The patients often suffer from appearances of virilization and manlike hair patterns. These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. The endometrium can be damaged from previous curettages or infections like endometritis.