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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). Delayed conception and active and passive smoking.

ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.

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Other causes include Y chromosome microdeletion, a depletion of chromosome material that impedes or severely decreases spermatozoa production. Prolonged anestrus may be congenital or acquired. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process.

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Let’s review some of the most common causes of infertility in women: Ovulation disorders  Ovulation disorders account for 25 percent of the cases of infertility in women. The testes are at risk for both thermal and physical trauma because of their exposed position. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving.

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Sperm density Normal sperm density is greater than 20 million sperm/mL. Various parameters are measured, such as ejaculate volume and sperm density, quality, motility, and morphology. The man must be producing healthy sperm in quantities large enough to fertilize an egg cell. As a result, infertility has come to be defined as the inability to conceive within 12 months. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. You have never had a period, or periods suddenly stop.