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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others. Low weight: Obesity is not the only way in which weight can impact fertility. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. In many instances, patients can ovulate while on metformin treatment.

The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. In some cases, simply removing the polyp solves infertility. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. The WHO lower reference limit (5th percentile) is 15 million sperm per mL, or 39 million sperm per ejaculate. The opening improves the ability of the embryo to implant into the uterine lining.

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Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Online support from organizations such as Resolve can be helpful.

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This is caused by hormonal issues like thyroid hypo- or hyperfunction, hyperprolactinemia, or polycystic ovarian syndrome (PCOS) — all of which can lead to infertility.  Absence of periods: Temporary life stress or overexercising may cause you to occasionally skip a period. This number has been rising continuously over the last few years.

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Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. This reduction division (ie, meiosis) results in a haploid chromosome number. If you’re having trouble conceiving, you are certainly not alone. 2012;27(8):2396–2404.   Want to use this article elsewhere? Females[edit] The following causes of infertility may only be found in females. Common symptoms of infertility include the following. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984.