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Delayed conception and active and passive smoking. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010.

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The incidence rate of ectopic pregnancy after surgery is in the range of 5%. Diagnostic evaluation of the infertile female: a committee opinion. This can make it difficult for the embryo to implant. The following hormones can be identified in the blood among others: FSH, LH, estradiol, prolactin, testosterone, DHEA-S and the thyroid hormones. If stem cells remain viable after radiation therapy, patients may regain fertility within several years. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0.

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On the other hand, swollen, painful, or tender testicles may be a sign of an underlying issue, such as an infection, that can also impact sperm quality and male fertility. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

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Obesity and increased risk for oligozoospermia and azoospermia. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Gonadotropin release is modulated by various other signals, such as estradiol (a potent inhibitor of both LH and FSH release), and inhibin from the Sertoli cell, which causes a selective decrease in FSH release. Practice Committee of the American Society for Reproductive Medicine. Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for Infantile hypertrophic pyloric stenosis. However, hormones are not the main problem in 97% of infertile men.