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Obesity and increased risk for oligozoospermia and azoospermia. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Radiation therapy: This can impair sperm production. Women in group III can conceive only with oocyte donation and in vitro fertilization. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. Medicines are usually given to the woman first to increase the number of eggs she releases.

There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). This drug is administered in a pulsatile fashion every 60-120 minutes, intravenously or subcutaneously using a delivery pump.

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Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. A detailed history and physical examination is necessary for both partners. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated.

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If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.

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This can be made laparoscopically as well as sonographically. Klinefelter�s Syndrome: Is a genetic condition in which each cell in the human body has an additional X chromosome--men with Klinefelter�s Syndrome have one Y and two X chromosomes.  Physical symptoms include peanut-sized testicles and enlarged breasts.  A chromosome analysis is used to confirm this analysis.  If this condition is treated in its early stages (with the drug hCG), sperm production may commence and/or improve.  However, Klinefelter�s Syndrome eventually causes all active testicular structures to atrophy.  Once testicular failure has occurred, improving fertility is impossible. If you and your partner agree, extra embryos can be frozen and saved to use later. Fertility awareness can help women and couples become more familiar with the signs of ovulation and menstrual cycle patterns. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Exercise: Both too much and too little exercise can lead to fertility problems. The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews.


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