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Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Happily, many couples treated for infertility are able to have babies.

Some women have bilateral tubal occlusion, which is when both tubes are blocked. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility.

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Therefore, a total of 4 spermatids are made from each spermatocyte. If this is unsuccessful, the dosage may be increased to 100 mg daily. A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.

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An ultrasonography unit and an endocrine laboratory capable of performing daily determinations of E2, FSH, and LH are necessary. [186, 187, 188, 189] Multiple adverse effects and complications may occur during the use of the gonadotropins, including (1) multiple pregnancy (24-33%), (2) ectopic pregnancy (5-8%), (3) miscarriages (15-21%), (4) ovarian torsion and rupture, and (5) ovarian hyperstimulation syndrome, which is the most severe. [190, 191] Whittemore et al, using a large combined data set derived from case-controlled studies in the United States, showed that the increase of ovarian cancer associated with infertility might be due to the use of fertility drugs. [192] Ovarian hyperstimulation syndrome is an iatrogenic condition that occurs in patients undergoing ovulation induction with hMG or controlled ovarian hyperstimulation (COH) for assisted reproductive technologies. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.

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Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. Ovulation disorders can be treated with ovulation-inducing drugs. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Measures the LH in urine to detect if and when ovulation has occurred. Normal motility is defined as more than 60% of sperm having normal movement, and the WHO 2010 lower reference limit (5th percentile) is 40%.