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These risks include: Age (past age 40, men experience more fertility problems). Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles.

Females[edit] The following causes of infertility may only be found in females. In 1985, he constructed the pelvi-trainer = laparo-trainer, a practical surgical model whereby colleagues could practice laparoscopic techniques. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999.

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This may take the form of miscarriages or extrauterine pregnancies. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. It is better for a couple to see the doctor together. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases.

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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Those with a varicocele diagnosable only on scrotal ultrasonography have subclinical varicoceles and will likely not benefit from repair. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Some women are infertile because their ovaries do not mature and release eggs. Additional information regarding infertility is available at . Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. Choose a single article, issue, or full-access subscription. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. Some methods may be used in concert with other methods.