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For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992.

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Unexplained infertility in women or men may be managed with another year of unprotected intercourse, or may proceed to assisted reproductive technologies, such as intrauterine insemination or in vitro fertilization. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall. Because the sperm have a short life span outside the human body, the semen specimen must be evaluated within a short time frame. Chemotherapy Chemotherapy is toxic to actively dividing cells.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. It is better for a couple to see the doctor together. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003.

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These numbers are comparable to those of other industrialized nations. Normal uterine implantation can therefore not occur. Mumps, leading to orchitis (testicular inflammation), may cause secondary testicular atrophy in the small number of men infected after puberty. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Some authorities believe that ovulation occurs 5 days after the last dose of CC. If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s.