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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Patients with severe ovarian hyperstimulation syndrome are often hospitalized and confined to bed, with strict control of fluid intake and output. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older.

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Although tubal disease was the original indication for IVF, many more indications have developed over the years. Congenital forms of anestrus may be due to lack of function of the hypothalamic-pituitary axis or ovarian dysgenesis.

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The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization.

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Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Patients who are suffering from Stein-Leventhal syndrome (also referred to as polycystic ovary syndrome, or PCOS) can also suffer from anovulation.[3] Up to 90% of cases of anovulation are caused by PCOS; this syndrome is usually hereditary.[4][5] Weight loss or anorexia can also cause hormonal imbalance, leading to irregular ovulation (dysovulation). During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Experts then assess your sperm count, their shape, movement, and other variables. “Generally, a higher number of normal-shaped sperm means higher fertility,” says Shaban. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Estrogen excess may be seen in patients with Sertoli cell tumors, Leydig tumors, liver failure, or severe obesity.