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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Intracytoplasmic sperm injection (ICSI.)A single sperm is injected through a tiny needle into an egg.

2012;27(8):2396–2404.   Want to use this article elsewhere? The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. The agents most often associated with infertility are the alkylating agents such as cyclophosphamide.

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We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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It occurs when a woman either doesn’t ovulate regularly or doesn’t ovulate at all. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist.

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A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Use of clomiphene citrate in infertile women: a committee opinion. Ovulation disorders appear to be the most common cause of infertility in women. It must be kept in mind that a woman is no longer fertile around six years prior to the menopause. 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. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Testicular neoplasia, commonly producing estrogen, usually causes infertility. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. Testicular neoplasia, commonly producing estrogen, usually causes infertility.