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Definition of Infertility in Females
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Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months.
Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy.
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Nonchromosomal testicular failure Testicular failure that is nonchromosomal in origin may be idiopathic or acquired by gonadotoxic drugs, radiation, orchitis, trauma, or torsion. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Biopsy reveals maturation arrest or germ cell aplasia. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. In many instances, sterility may be unexplained, but fertility treatments will be able to help.
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Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems.
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Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. You can be a working couple, a working mother or father, a stay at home parent or retired. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Treatment of hydrosalpinx (distal tubal obstruction) with salpingostomy can be performed through microsurgery or operative laparoscopy. 8 A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Intracytoplasmic Sperm Injection Today: A Personal Review. (PDF, 5 MB) Human Reproduction, 1998. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity.
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