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Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. A typical disease is polycystic ovarian syndrome.

Congenital disorders and chryptorchidism (undescended testicles). Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

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Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections.

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Irregular periods The average woman’s cycle is 28 days long. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005.

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Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. If the woman is age 35 years or older, she should see a healthcare provider after six months of trying to get pregnant. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. These rates, of course, readjusted down for the older women with long durations of infertility [42]. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. The cervical mucus changes consistency during the ovulatory cycle, being most hospitable and easily penetrated at mid cycle. Implantation: the process when the fertilized egg attaches to the uterine wall. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004.