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Infertility Clinic at Emory
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Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. However, the . clinical management . of the infertility in these patients is difficult Source : Infertility And Sterility PPT Presentation Summary : Infertility and Sterility. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open.
Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Normal immunologic responses to accommodate sperm and conceptus. Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men. ED is the result of a single, or more commonly a combination of multiple factors. In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature. However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem. Many of the common causes of impotence include: diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. Intra-uterine insemination for male subfertility.
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Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma.
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Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. In order to conceive, your sperm must be: Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5 Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg Normally shaped — healthy sperm should be shaped like a streamlined tadpole You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998.
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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Three main events necessary for pregnancy to occur are: Ovulation: the process by which the mature egg is released from one of the woman’s ovaries. Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. Transrectal ultrasonography (TRUS) may reveal enlarged seminal vesicles, but this is not universal. However, it is widely acknowledged by doctors that it is usually very difficult for PCOS patients to lose weight. Although tubal disease was the original indication for IVF, many more indications have developed over the years. Sperm are then collected, washed, and added to the eggs in the dish. As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues. Fibrosis of the oviducts or uterine horns, probably a result of inflammation after infection or trauma, leads to infertility. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. Couples will have to consider the ethical and emotional aspects of this procedure.
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