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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment.

8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. A vasectomy can be reversed, but reversals aren't usually successful. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology.

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Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. 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. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.

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The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. Many health conditions can make it hard to get pregnant. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. If this is unsuccessful, the dosage may be increased to 100 mg daily.