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Fertility Evaluation: General and Sexual History A detailed history includes: General history This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995.
Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. 8 A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Women presenting with a history of this anomaly should be considered high-risk obstetrical patients. [115] Bicornuate uterus A bicornuate uterus causes only minimal problems with infertility (if any). Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.
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Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors. Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. 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.
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Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Reduced fecundability in women with prenatal exposure to cigarette smoking. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.
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Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Genetic tests can identify specific obstacles to fertility and problems with sperm. Normal cervical mucus to allow passage of the sperm to the upper genital tract. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. Options for Male Infertility Treatment Some causes of male infertility are treatable or correctable through surgery. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. If a cause for your fertility problems hasn't been identified, talk to your doctor about the next steps. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts.
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See also
Female Infertility and Endometriosis
Infertility Clinics Surrogacy
Infertility Doctor in Bangladesh