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If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. 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. Practice Committee of American Society for Reproductive Medicine. It stimulates the ovaries to mature egg follicles. LH mainly functions to stimulate testosterone secretion from the Leydig cells of the testicle, while FSH stimulates Sertoli cells to facilitate germ cell differentiation.

The abdomen is usually insufflated with carbon dioxide gas. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. In-vitro fertilization (IVF.)Sperm are mixed with multiple eggs collected from the woman in a “test tube” (actually just a plastic dish.). Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex.

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8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. These receptor dysfunctions may be explained by defects in specific chromosomal areas.

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First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix.

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If the woman is aged over 35 years, the couple may wish to see a doctor earlier, because fertility testing can take time, and female fertility starts to drop when a woman is in her 30s. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Varicocele The veins in a man’s scrotum (sac) can become too large. A couple should see a healthcare provider if they have not been able to become pregnant after 12 months of having sex regularly without birth control. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Causes of infertility and sterility In 30% of all cases, the cause is in the female partner. The sperm is washed in a fluid and the best specimens are selected. A low testosterone level with a low FSH level signals a secondary cause. A relationship also exists between obesity and erectile dysfunction (ED).