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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. A luteal phase defect results in low production of the hormone progesterone, which is necessary for maintaining a pregnancy. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.

Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture. Conversely, a young overweight woman who manages to lose weight could also relieve the problem of anovulation (losing just 5% of body mass could be enough to restart ovulation). When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following.

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8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Do you have a family history of medical problems? Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.

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However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time. Causes of Female Infertility The following causes may lead to infertility in women: Pelvic inflammatory disease, which can lead to blocked or damaged fallopian tubes. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. However, nowadays, spermatozoa can be extracted by means of a testicular puncture.

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This method takes several weeks and daily hormone injections are needed to ensure successful implantation. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Endometriosis (especially if chronic), uterine fibroids (myomas), or an abnormally-shaped uterus might interfere with conception as well.  Age  As women grow older, it usually becomes more challenging for them to conceive. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. The patency of the fallopian tubes can also be checked. The couple should have sex at least every two days between the 10th and 18th day after the woman starts her period. Cantanucci and all of the nurses (especially Ashley).