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The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. For example, for a woman who ovulates sporadically, the quality of her partner's ejaculate and the frequency of love-making can worsen or improve her prognosis.

Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide.

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Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. However, future pregnancy is possible with the other ovary and tube. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia.

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In addition to stimulation by FSH, Sertoli cell function is modulated by intratesticular testosterone and signals from peritubular myoid cells. Paternal age > or = 40 years: an important risk factor for infertility. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving.

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Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy.