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Understanding what’s causing your fertility difficulties can help you find out what treatment is right for you and your partner.Fertility What is Normal Fertility and When Does it Become Infertility? Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Primary spermatocytes undergo meiosis as the cells successively pass through the preleptotene, leptotene, zygotene, and pachytene stages to become secondary spermatocytes. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high.

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The secondary spermatocytes undergo a second meiosis and become spermatids. Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010.

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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. These may cause abortion, neonatal death, fetal resorption, and apparent infertility.

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Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Homologous insemination refers to the use of sperm from the patient's partner. Fertility Evaluation: General and Gynecological Examination For women, a visual evaluation of hair distribution and of body and breast development can indicate endocrinopathy or various development deficiencies. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Normal motility is defined as more than 60% of sperm having normal movement, and the WHO 2010 lower reference limit (5th percentile) is 40%. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. World Health Organization reference values for human semen characteristics.