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The likelihood of fertilization improves significantly for men with low sperm concentrations. Summary Infertility is a significant medical and social problem affecting couple worldwide. It is a sensitive issue that should be handled with great care with continuous professional counselling. Most young couples will conceive naturally within 2 years. Evaluation of both partners for causes is essential. Treatment depends on the cause, and varies from medical treatment to surgery to ART. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Of particular relevance amongst diseases affecting the testes are testicular infection or orchitis.

It will take time until these studies can be available for clinics and patients as a regularity. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.

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To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Symptoms can also depend on what is causing the infertility. Exposure to chemicals: Pesticides, for example, may increase the risk.

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. In some cases, hormonal problems may be suspected if a man has abnormal hair growth, low libido, or other indications of sexual dysfunction. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978.

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Human menopausal gonadotropins Crowe discovered that the gonads were under the control of the anterior hypophysis. [175] Zondek and Aschheim discovered that FSH and LH were responsible for the development of the gonads in immature animals and confirmed Crowe's work. [135, 136] In the 1930s, ovulation induction was attempted by using gonadotropins from a mare, but its use was discontinued because of the development of antibodies. [176, 177] Borth et al demonstrated the effect of FSH and LH extracted from menopausal urine. [178, 179] Gemzell reported the first ovulation induction using human pituitary gonadotropin in 1958, and the first pregnancy was reported in 1960. [180, 181] Lunenfeld reported preliminary results using hMG; however, in 1963, it was definitely established as a real ovulation induction agent. [182, 183, 184] Human menopausal gonadotropin (hMG [eg, Repronex, Menopur]) contains 75 U of FSH and 75 U of LH per mL, although the concentration may vary among batches (ranges from FSH at 60-90 U and LH at 60-120 U). Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Afterward, the embryos are incubated again and then transferred to the cavum uteri of the woman. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. They can often recommend a counselor and others who can offer appropriate support.