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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. In men, exposure to lead can reduce both sex drive and sperm count. Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature.

Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. You always have the choice to experience our sites without personalized advertising based on your web browsing activity by visiting the DAA's Consumer Choice page, the NAI's website, and/or the EU online choices page, from each of your browsers or devices. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse.

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Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction. But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease. Radiation therapy: This can impair sperm production. This is caused by hormonal issues like thyroid hypo- or hyperfunction, hyperprolactinemia, or polycystic ovarian syndrome (PCOS) — all of which can lead to infertility.  Absence of periods: Temporary life stress or overexercising may cause you to occasionally skip a period. If the woman reaches the age of 40 during treatment, complete the current full cycle but do not offer further full cycles. In women aged 40–42 years who have not conceived after 2 years of regular unprotected intercourse or 12 cycles of artificial insemination (where 6 or more are by intrauterine insemination), offer 1 full cycle of IVF, with or without ICSI. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs.

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Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Both pituitary insufficiency and pituitary excess cause infertility. 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. If oligospermia or azoospermia is noted, hypogonadism should be suspected.

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Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. The transit time varies with age and sexual activity but is usually from 1-12 days. Sperm are then collected, washed, and added to the eggs in the dish. Normal immunologic responses to accommodate sperm and conceptus. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. However, it could be the future for the treatment of multiple diseases, including infertility. Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility.