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Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9].

A prolactin level of more than 150 mcg/L suggests a pituitary adenoma, while levels greater than 300 mcg/L are nearly diagnostic. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.

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However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop.

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As well as generally causing pelvic and menstrual pain, it is estimated that around 40% of women faced with difficulties getting pregnant have endometriosis. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. 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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It may also prevent the sperm from reaching the egg. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. It's rarely reversible – if you do have a sterilisation reversed, you won't necessarily become fertile again. Also, parotitis o mumps associated with male infertility when it happens during adolescence. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). A needle biopsy of the testicle can show whether a man is making healthy sperm. However, it could be the future for the treatment of multiple diseases, including infertility. Fertility treatment with donor eggs is usually done using IVF.