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Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile.

38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. It is more successful in women who have previously been pregnant. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Unexplained infertility In the UK, unexplained infertility accounts for around 25% of cases of infertility. Other conditions that affect the quality and quantity of sperm include: Primary testicular failure. The sperm is washed in a fluid and the best specimens are selected.

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If your cycles are infrequent or irregular, your doctor will examine you and perform the appropriate testing to discover which problem you may have and present the appropriate treatment options. Issues with the regulation and production of reproductive hormones are a potential cause. This process bypasses the normal fertilization process, which may be compromised due to poor sperm function. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities.

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Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility.

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Cryptorchidism An estimated 3% of full-term males are born with an undescended testicle, but fewer than 1% remain undescended by age 1 year. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. The cause of sterility can also be found in the tubes. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.