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Primary sterility means that a pregnancy has never occurred. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. Histological dating of timed endometrial biopsy tissue is not related to fertility status.

Issues with the regulation and production of reproductive hormones are a potential cause. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Treatment of Cervical Factors Chronic cervicitis may be treated with antibiotics.

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The patient should start monitoring the urinary LH secretion daily starting on menstrual cycle day 12. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to.

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Thus, an intravenous pyelogram must be performed once this diagnosis is made. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Release of GnRH is stimulated by melatonin from the pineal gland and inhibited by testosterone, inhibin, corticotropin-releasing hormone, opiates, illness, and stress. 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.

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The sediment is suspended in a buffer solution, and the recovered sperm is processed using the sperm-wash technique before it can be used for intrauterine insemination. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. The rate increases to 10-12% after CC ovulation induction and to 12-15% per cycle after hMG/hCG ovulation induction. Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture. Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. With laparoscopy providing tissue diagnosis, and helping to achieve the final diagnosis without any significant complication and less operative time, it can be safely concluded that diagnostic laparoscopy is a safe, quick, and effective adjunct to non‑surgical diagnostic modalities, for establishing a conclusive diagnosis, but whether it will replace imaging studies as a primary modality for diagnosis needs more evidence.[34] History[edit] Hans Christian Jacobaeus It is difficult to credit one individual with the pioneering of the laparoscopic approach. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility.