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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. Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. It is important to tell a doctor if excessive mental and emotional stress develop.

Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women.

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Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Any condition that interferes with these events may result in infertility.

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Age: Male fertility starts to fall after 40 years. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. Some women are infertile because their ovaries do not mature and release eggs.

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In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Improvement in the sperm count is a good sign, and the treatment should be continued. The testicular-epididymal component includes sperm and comprises about 5% of the ejaculate volume. If GnRH is not secreted, the pituitary does not release LH and FSH. In such cases, the vas deferens connecting the testicle and prostate is not formed. From that point onwards, there is a progressive decline up to the point when a woman reaches 37 years of age. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. For conception to take place, several events should happen correctly and at exactly the right time. National Collaborating Centre for Women's and Children's Health.