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WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. There are some common risk factors that can increase the likelihood of a man experiencing some form of reversible or permanent infertility.

Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs).

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A postoperative HSG should be performed 2 months later. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well.

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Urofollitropin (eg, Bravelle) contains 75 U of FSH. Malformations are the primary organic causes of sterility. Other factors, such as luteal phase defect or production of anti-sperm antibodies.

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Antibodies can abnormally attack a man's own sperm on their way to the egg. If the correction is not done, it may be harder for the sperm to get to the female's cervix. In 1985, Erich Mühe performed the first laparoscopic cholecystectomy. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. The production of anti-sperm antibodies by the woman’s immune system can interfere with fertilization. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Treatment of tubal obstruction generally requires referral for subspecialty care. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb.