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The severity usually depends on how near to the testicles the radiation was aimed. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973.

Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release.

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These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995.

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Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Possible reasons for abnormal semen include: a lack of sperm – you may have a very low sperm count or no sperm at all sperm that aren't moving properly – this will make it harder for sperm to swim to the egg abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg Many cases of abnormal semen are unexplained. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment.

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Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. Medical conditions Some medical conditions can affect fertility. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. A history and physical examination can help direct the evaluation. The mitotic division does not result in complete separation; rather, daughter cells maintain intracellular bridges, which have functional significance in cell signaling and maturation. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome. Medical conditions Some medical conditions can affect fertility. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians.