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A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

The follicle should develop to a diameter of 23-24 mm before a spontaneous LH surge occurs. Worldwide, 8 to 12 percent of couples experience fertility problems. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. If this becomes a regular occurrence, it may interfere with sexual intercourse or be a sign of an underlying issue. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.

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Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. In another 30% of all cases, the cause is in the male partner. Cervical surgery can also sometimes cause scarring or shorten the neck of the womb (the cervix). However, the presence of fibroids alone doesn’t necessarily cause infertility or predispose a woman to pregnancy loss.

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A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Because cortisol is not secreted, a lack of feedback inhibition on the pituitary gland occurs, leading to adrenocorticotropic hormone (ACTH) hypersecretion. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.

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In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11. Sign up for the free AFP email table of contents.Infertility definitions and terminology A couple sits at the bank of a lake in Ahmedabad, India. This can damage the ovaries or fallopian tubes and cause fertility problems. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. A relationship also exists between obesity and erectile dysfunction (ED). The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.