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Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals. Semen analysis – The semen analysis is the main test to evaluate the male partner. But the ruling is also likely to lead to accusations that that the body has overstepped its remit by moving from its remit of health into matters of social affairs. Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. As a woman gets older, the number of her eggs decreases rapidly.

When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. If oligospermia or azoospermia is noted, hypogonadism should be suspected.

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Sperm are nourished by semen, which is made by glands along the way. The most commonly prescribed injections that stimulate the ovary are called gonadotropins. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Unfortunately, clinical examinations, ultrasounds and analyses rarely indicate the reason for the problem and, as such, medical or surgical treatment is infrequent. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve.

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Furthermore, myomas in the uterus lead to occlusions of the lumen and so cause sterility. 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.

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The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. In addition to a careful history, a physical evaluation may also be performed. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Overweight or obesity: This may reduce the chance of conceiving. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. 35. In women aged under 40 years who have not conceived after 2 years of regular unprotected intercourse or 12 cycles of artificial insemination (where 6 or more are by intrauterine insemination), offer 3 full cycles of IVF, with or without ICSI. Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm.