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A systematic review of tests predicting ovarian reserve and IVF outcome. A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. ED may be the consequence of the conversion of androgens to estradiol. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Effectiveness of the postcoital test: randomised controlled trial.

The WHO sets global health standards and its ruling is likely to place pressure on the NHS to change its policy on who can access IVF treatment. It was broken down into male and female categories. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Semen analysis – The semen analysis is the main test to evaluate the male partner.

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Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. The average pregnancy rate achieved after a natural-cycle intrauterine insemination is 8%. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Measures the LH in urine to detect if and when ovulation has occurred.

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CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate.

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Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. A couple which is unable to conceive is not the same as a couple which often conceives without difficulties but which then sadly finds that the pregnancy does not go full term. The agents most often associated with infertility are the alkylating agents such as cyclophosphamide. This prevents the sperm from fertilizing the egg. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. In general, ART involves surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body.