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6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Congenital disorders and chryptorchidism (undescended testicles). Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated.

If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. If too many embryos develop, one or more can be removed. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods.

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Fertility may improve after adopting a gluten-free diet.Infertility: Introduction Infertility is a significant social and medical problem affecting couples worldwide. Semm published over 1000 papers in various journals.[4] He also produced over 30 endoscopic films and more than 20,000 colored slides to teach and inform interested colleagues about his technique.

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Source : Infertility In Men And Women With Cf PPT Presentation Summary : Infertility in Men and Women with CF Julia Broaddus March 15, 2006 Infertility Inability to conceive after a year of trying 33% -33%-15% Female Infertility Source : Embryo cryopreservation (via ovulation induction) Oocyte cryopreservation. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Defects of tubules that transport sperm There are many different tubes that carry sperm. Types of Infertility There are two types of infertility: primary and secondary. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used.

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Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. Ovulation disorders appear to be the most common cause of infertility in women. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. Unicornuate uterus is associated with renal abnormalities including absence of a kidney or presence of a pelvic kidney; this occurs in 15% of cases. Females[edit] The following causes of infertility may only be found in females. Rather than a minimum 20 cm incision as in traditional (open) cholecystectomy, four incisions of 0.