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Uterine fibroids Fibroids are noncancerous growths in the uterus. The pregnancy rate fluctuates from 20-35%, and the expected ectopic pregnancy rate is as high as 20%. Other conditions that affect the quality and quantity of sperm include: Primary testicular failure. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. A mouse study has suggested that ingredients in some household detergents may reduce fertility. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope.

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This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. Difficulties getting pregnant increase from 35 years of age. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. The more fetuses there are, the higher the risk of premature labor.

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Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation.

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Once the follicular diameter reaches 18 mm and the E2 level is below 2000 pc/mL, ovulation is triggered by the administration of hCG (10,000 IU IM). The sediment is suspended in a buffer solution, and the recovered sperm is processed using the sperm-wash technique before it can be used for intrauterine insemination. Histology reveals seminiferous tubules lined by Sertoli cells and a normal interstitium, although no germ cells are present. Another potential symptom is irregular menstruation, where five or more menstrual cycles a year are five or more days shorter or longer than the length of the average cycle. This includes injuries to the testicles, epididymides, prostate, or the urethra. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Treatment of tubal obstruction generally requires referral for subspecialty care. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.