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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. If you and your partner agree, extra embryos can be frozen and saved to use later. The mature spermatid is then located adjacent to the tubule lumen and contains dark chromatin with an oval-shaped nucleus. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. About half the women with hormonal imbalances do not produce enough follicles to ensure the development of an ovule, possibly due to poor hormonal secretions from the pituitary gland or the hypothalamus.

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There are several requirements for male fertility. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. The test is rated positively when motile sperm can be proved in the mucus. 5 IU q5d) until follicle development is detectable based on an elevation of the E2 levels and the presence of follicle development on sonograms. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992.

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Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. Tests and trials are available, but testing does not always reveal a specific cause. This page covers the possible causes of infertility in men and women. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010.

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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. This can make it difficult for the embryo to implant. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Intrauterine insemination 50% of women will conceive after 6 cycles. Half of the unsuccessful ones, will conceive with further 6 cycles. It is artificial introduction of semen inside the female’s uterus. Success rate varies, lie between 15% to 20% per cycle. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. The drugs are indicated for diseases like corpus luteum insufficiency, anovulational cycles, and normogonadotropic amenorrhea.