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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Modifying these behaviors can improve a man�s fertility and should be considered when a couple is trying to achieve pregnancy. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets.

The pituitary gland controls most other hormonal glands in the human body. Excess alcohol consumption: This may lower male fertility. The woman may be given a low dose of ovary stimulating hormones. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Etiology of Sterility Causes of sterility can be manifold and diverse.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Most problems are related to premature labor and pregnancy loss. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995.

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Endometriosis may be treated through laparoscopic surgery. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

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In vitro fertilization[edit] IVF is the most commonly used ART. These specimens benefit most from layering a washed pellet of sperm with nutrient media and allowing the motile fraction to swim up into the media before being separated. [109] After sperm preparation, the spermatozoa are enhanced in motility and become activated and ready to fertilize an oocyte. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. The extra heat caused by the vein can lead to low sperm count and impaired sperm movement. Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. Therefore, any pituitary malfunctioning affects other glands under its influence, including the ovaries. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.