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The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection.

Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009.

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Prolonged estrus may be caused by ovarian cysts that produce estrogen, functional ovarian tumors, or exogenous estrogens (including human transdermal hormone replacement therapy). Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish.

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Age: Male fertility starts to fall after 40 years. Cervical surgery can sometimes cause scarring or shortening of the cervix.

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Practice Committee of American Society for Reproductive Medicine. Before treating cornual obstruction, the diagnosis should be confirmed. Terra Cotta Ave (Rte 176) Suite 118 Crystal Lake, IL 60014 Phone: (815) 356-1818 Fax: (815) 356-1866 4920 N. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. Surprisingly, most patients have normal libido, erections, and orgasms, so testosterone therapy has only a limited role; exogenous testosterone may also suppress any underlying sperm production. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.