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The rising number of obese individuals may be due in part to an energy-rich diet as well as insufficient physical exercise.  In addition to other potential health risks, obesity can have a significant impact on male and female fertility. Donor semen should be free from any STI-producing organisms, including HIV. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. Around one third of couples have difficulty conceiving due to a low sperm count. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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Radiation therapy: This can impair sperm production. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions.

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21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes.

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According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. A low testosterone level with a low FSH level signals a secondary cause. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.