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Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. American Urological Association Education and Research, Inc.

Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis.

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Used by some clinicians to evaluate the motility of the sperm and its ability to travel through the cervical mucus. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. The embryo is then placed in the uterus to begin a pregnancy. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. In collaboration with partners, CDC developed the National Public Health Action Plan for the Detection, Prevention, and Management of Infertility, which identifies opportunities to prevent and reduce infertility and improve outcomes for couples undergoing fertility treatment. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus.

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Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. 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. The main causes of tubal infertility are pelvic infections caused by bacteria such as chlamydia, previous abdominal disease or surgery and ectopic pregnancy. • Endometriosis is characterised by excessive growth of the lining of the uterus.

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Gonadotrophins for idiopathic male factor subfertility. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Hormonal abnormalities can sometimes be treated with medicine or surgery. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Some physical effects may also result from treatment. Some women have bilateral tubal occlusion, which is when both tubes are blocked. These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb.