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Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. If no improvement occurs, depending on the amount of functional sperm recovery after the sperm wash, the decision must be made to proceed with either intrauterine insemination or in vitro fertilization.

Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. In vitro fertilization[edit] IVF is the most commonly used ART. Treatment of tubal obstruction generally requires referral for subspecialty care.

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Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. Most couples skip the invasive laparoscopic surgery and do treatments with intrauterine inseminations and then IVF if inseminations are not successful. The endometrium can be damaged from previous curettages or infections like endometritis. In addition to stimulation by FSH, Sertoli cell function is modulated by intratesticular testosterone and signals from peritubular myoid cells.

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There are many factors that may be causing your fertility difficulties. The more fetuses there are, the higher the risk of premature labor. A review of records from other fertility doctors that you have seen is also important. About a third of the time, infertility can be traced to the woman. Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man.

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0 This concept is a form of artificial insemination. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages.