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Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth.

Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. The corollary to this is that, by definition, failure to conceive in women under 35 isn't regarded with the same urgency as it is in those over 35. Done as part of an IVF treatment, ICSI involves injecting a single sperm into an egg. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001.

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In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.

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Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling.

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License: Public Domain Due to increased levels of prolactin, the pulsatile release of GnRH is inhibited. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. In addition to sperm immobility, patients experience sinusitis, bronchiectasis, and respiratory infections. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. Semen is the milky fluid that a man's penis releases during orgasm.