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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Role of Semen Analysis in Subfertile Couples. (PDF, 250 KB) Fertility and Sterility, 2010. Sperm production problems One of the most common causes of male infertility is problems with sperm production.

Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995.

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Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

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National Collaborating Centre for Women's and Children's Health. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Malformation of the eggs themselves may complicate conception.

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Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Financing fertility treatment can also be costly, but there are programs that can help with this.Infertility is when you cannot get pregnant after having unprotected, regular sex for six months to one year, depending on your age. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy. Theoretically, with this therapy, we can get artificial gamets in vitro. Clomiphene citrate for unexplained subfertility in women. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. Tubal obstruction due to elective sterilization is better repaired with microsurgery, although the modern tendency is to perform the anastomosis using operative laparoscopy. [33, 143, 144] In either event, knowing in advance what type of tubal ligation technique was used is important. Close Testing for Women Women should track their ovulation by recording their basal body temperature for several months, checking their cervical mucus using a home ovulation test kit. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.