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Histologic endometrial dating is not considered reliable nor is it predictive of fertility. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.

Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Legal experts said the new definition, which will be sent out to every health minister next year, may force a law change, allowing the introduction of commercial surrogacy.

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Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. During the first two years after menarche 50% of the menstrual cycles could be anovulatories.

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Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Secondary spermatocytes contain smaller nuclei with fine chromatin. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. Before treating cornual obstruction, the diagnosis should be confirmed. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.

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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. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs. There are treatments that are specifically for men or for women. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). Some causes, such as hyperprolactinemia, are reversible with proper treatment. After tracking my period for a couple of months the app seemed pretty on track and worked just as I was hoping.