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Medical conditions Some medical conditions can affect fertility. High environmental temperature and excessive conditioning resulting in increased body temperature can induce either temporary or permanent azoospermia. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. World Health Organization reference values for human semen characteristics. Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Guidelines and recommendations were retrieved from the best evidence reviews at the American College of Obstetricians and Gynaecologists (ACOG), American Society for Reproductive Medicine (ASRM), Canadian Fertility and Andrology Society (CFAS), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority (HFEA), Royal College of Obstetricians and Gynaecologists (RCOG), and the World Health Organization (WHO).

Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate. In many instances, sterility may be unexplained, but fertility treatments will be able to help. ART: In Vitro Fertilization In Vitro Fertilization (IVF) is a procedure that involves retrieving eggs and sperm from the female and male partners and placing them together in a laboratory dish to enhance fertilization.

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Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Experts then assess your sperm count, their shape, movement, and other variables. “Generally, a higher number of normal-shaped sperm means higher fertility,” says Shaban.

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Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977.

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Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Anatomic causes of infertility include acquired and congenital problems. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. If abundant good sperm are found in the testicle, there's likely a blockage somewhere. Examples of such health issues include infections, endometriosis, and fibroids. It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. Hypothyroidism has no effect on male libido or semen quality. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Obesity and increased risk for oligozoospermia and azoospermia. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue.