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Terra Cotta Ave (Rte 176) Suite 118 Crystal Lake, IL 60014 Phone: (815) 356-1818 Fax: (815) 356-1866 4920 N. Females[edit] The following causes of infertility may only be found in females. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body.

Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology.

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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Before surgery, the HSG films and results of previous laparoscopies should be thoroughly reviewed to decide on the type of surgical technique that is required and to explain to the patient the expected degree of success and risks involved with the procedure. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility.

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Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. If stem cells remain viable after radiation therapy, patients may regain fertility within several years.

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Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Varicocele: Surgically removing a varicose vein in the scrotum may help. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. About 10% of reproductive age women are affected by endometriosis. They want this for you just as much as you want this for you! Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. A low testosterone level with a low FSH level signals a secondary cause.