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The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1.

The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Worldwide, 8 to 12 percent of couples experience fertility problems. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Perspectives on infertility consultations in primary care: a qualitative study.

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Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time. It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY INFERTILITY?

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The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL.

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Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms. They are very common (approximately 40% of women have them them). Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). Central Ave Suite 2C Chicago, IL 60630 Phone: (773) 794-1818 Fax: (773) 794-1819 GURNEE 30 Tower Court Suite F Gurnee, IL 60031 Phone: (847) 662-1818 Fax: (847) 662-3001 CRYSTAL LAKE 820 E. Testicle pain or swelling There are several different conditions that could lead to pain or swelling in the testicles, many of which could contribute to infertility. The feelings experienced by the infertile couples include depression, grief, guilt, shame, and inadequacy with social isolation. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries.