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Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Normal immunologic responses to accommodate sperm and conceptus. Low weight: Obesity is not the only way in which weight can impact fertility. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. Thus 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. (Trends in prevalence4).

Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Advising surgery in cases of primary infertility is difficult. Sperm are nourished by semen, which is made by glands along the way. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well.

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Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. This pill generally is taken from menstrual cycle days 3 – 7. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. There are other hormonal anomalies with no direct link to the ones mentioned above that can affect ovulation. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010.

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Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices. Blood test: This can assess hormone levels and whether a woman is ovulating. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).

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Use of clomiphene citrate in infertile women: a committee opinion. Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Fallopian tube factor: in vivo fertilisation takes place inside the fallopian tubes. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. The chance of a multiple birth is lower with an oral fertility drug. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6]. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity.