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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. As a result, infertility has come to be defined as the inability to conceive within 12 months. Come and meet us to find out more about how we can help you.

Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. Risk factors for male infertility include obesity, age (over 40 -- yes, men also have biological clocks), current or previous infection of an STD, smoking, or excessive drinking.

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Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy.

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Reduced fecundability in women with prenatal exposure to cigarette smoking. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. In a third of cases, the reason lies only with the man; in another third, it is because of the woman; and in the rest of the cases, it is a combination of both, or the cause is unknown. Sperm counts can fluctuate, so that several samples may be necessary.

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Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Obesity Research from 2015 noted that many studies link obesity in men with infertility. However, it is widely acknowledged by doctors that it is usually very difficult for PCOS patients to lose weight. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Problems with sperm If a man makes too few sperm or none at all, the woman cannot become pregnant. Sperm are then collected, washed, and added to the eggs in the dish. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985.