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Learn what factors can influence your fertility and whether to consider seeking medical help. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Congenital disorders and chryptorchidism (undescended testicles). Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality.

A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. This page covers the possible causes of infertility in men and women.

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Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation.

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A majority of the results are in the normal range here which is why it is also called idiopathic sterility. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. 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. 8–16 One retrospective case-control study of 650 men with infertility and 698 control participants questioned the role of environmental risk; no association could be determined after assessing for multiple factors including shift work, stress, and pesticides. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.

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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Prolactin stimulates milk production during breastfeeding. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. Implantation: the process when the fertilized egg attaches to the uterine wall. About one out of every three cases of infertility is due to the man alone, and we're somehow involved in infertility about half the time. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. High-cost treatments are out of financial reach for some couples. Teratozoospermia is when there are a large number of sperms with abnormal morphology. The testes are at risk for both thermal and physical trauma because of their exposed position.