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Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. Endometriosis can only be confirmed by surgery, usually laparoscopy. These abnormalities can also cause irregular bleeding between menstrual cycles. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.

Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. If a couple has never produced a pregnancy, it is defined as primary infertility. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine.

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0 This concept is a form of artificial insemination. Factors effecting normal expectancy of conception.

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The seminal vesicles provide 40-80% of the semen volume, which includes fructose for sperm nutrition, prostaglandins and other coagulating substances, and bicarbonate to buffer the acidic vaginal vault. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. ART techniques generally start with stimulating the ovaries to increase egg production. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. A variety of disorders ranging from hormonal disturbances to physical problems, to psychological problems can cause male infertility.  Although many treatment options are now available, in many cases treatment will not work.  In many instances, male infertility is caused by testicular damage resulting in an inability of the testicle to produce sperm.  Once damaged, the testicle will not usually regain its sperm-making capabilities; this aspect of male infertility is analogous to menopause (though not natural like menopause) for women and cannot usually be treated.  Despite medicine�s limited ability to treat male infertility, many successful treatment options are available for its many causes.  Besides testicular damage, the main causes of male infertility are low sperm production and poor sperm quality.   The Causes of Male Infertility Male infertility has many causes--from hormonal imbalances, to physical problems, to psychological and/or behavioral problems.  Moreover, fertility reflects a man�s �overall� health.  Men who live a healthy lifestyle are more likely to produce healthy sperm.  The following list highlights some lifestyle choices that negatively impact male fertility--it is not all-inclusive: · Smoking--significantly decreases both sperm count and sperm cell motility. · Prolonged use of marijuana and other recreational drugs. · Chronic alcohol abuse. · Anabolic steroid use--causes testicular shrinkage and infertility. · Overly intense exercise--produces high levels of adrenal steroid hormones which cause a    testosterone deficiency resulting in infertility. · Inadequate vitamin C and Zinc in the diet. · Tight underwear--increases scrotal temperature which results in decreased sperm production. · Exposure to environmental hazards and toxins such as pesticides, lead, paint, radiation, radioactive   substances, mercury,  benzene, boron, and heavy metals · Malnutrition and anemia. · Excessive stress!

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Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. It was broken down into male and female categories. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation. Only 5-10% of these couples eventually achieve a pregnancy within 5 years. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. In addition, infertility is considered also a public problem. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. The lab uses this sample to measure the amount of semen and the number of sperm and to evaluate sperm shape and movement.