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WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). It involves removing eggs from the ovary of a donor who has taken fertility drugs. The laboratory evaluation begins with a semen analysis. 7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity.

Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. There are several requirements for male fertility. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy.

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The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. The quality and quantity of eggs begin to decline by the early 30s and drop even further as a woman approaches the age of 40. If the epididymis is blocked, sperm may not be ejaculated properly. European Association of Urology guidelines on male infertility: the 2012 update. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology.

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Breeding with a proven fertile male must occur at the optimal time for the female. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Infertility, on the other hand, is the inability to successfully carry a baby to term and give birth; i.e., conception is feasible but the pregnancy cannot be completed. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Smoking during pregnancy increases the chance of pregnancy loss. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.

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This measurement is called the antral follicle count and may correlate with fertility potential. Worldwide, 8 to 12 percent of couples experience fertility problems. About 10% of reproductive age women are affected by endometriosis. In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Acquired anestrus may result from previous oophorectomy, exogenous hormonal treatment (including glucocorticoids), profound hypothyroidism, or ovarian disease (cysts or neoplasia). Spermatogonia and Sertoli cells lie on the basement membrane of the seminiferous tubules. Uterine fibroids Fibroids are noncancerous growths in the uterus. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body.