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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

During ejaculation, the ejaculate is propelled forward by the rhythmic contractions of the smooth muscle that surrounds the ducts and by the bulbourethral muscles and other pelvic muscles. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Of particular relevance amongst diseases affecting the testes are testicular infection or orchitis. Age: Male fertility starts to fall after 40 years. Understanding the normal reproductive process is essential in knowing when to seek help. In addition to functioning as a conduit, the vas also has absorptive and secretory properties.

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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Factors that Contribute to Sterility There are many factors that contribute to sterility such as age, lifestyle, physical, and environmental conditions.

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Around one third of couples have difficulty conceiving due to a low sperm count. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.

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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Surgical ablation: - In minimal or mild endometriosis; surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis improves the chance of pregnancy. - Laparoscopic resection of endometriomas may be beneficial, however recent RCTs suggest intervention only in endometriomas > 4cm. - In moderate or sever endometriosis; surgical treatment should be offered. (Debatable) - Post-operative medical treatment does not improve pregnancy rates. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. The cause of sterility can also be found in the tubes. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Ovulation induction and intrauterine insemination are used after completion of the treatment in hopes of expediting the establishment of a pregnancy before relapse of the disease. [39, 157, 158] Treatment of Ovarian Factors Ovulation induction is the appropriate treatment for infertile patients who have dysfunction of the hypothalamic-pituitary-ovarian axis. Trastuzumab Clomifen Donepezol Setralin Venlafaxin Do you want to learn even more?