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If a blockage is present, surgery may be necessary. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Patients with a grade 1-3 varicocele (visible or palpable) associated with infertility should consider having the varicocele repaired.

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The diagnosis of congenital anestrus is based on the age of the animal and exclusion of all other possible causes (including chromosomal defects, endocrine disorders, and previous oophorectomy). When the magic moment arrives, about 150 million sperm are ejaculated in a half-teaspoon of semen through the penis. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty.

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WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Source : How To Use California’s Department Of Managed Health Care ... Primary sterility means that a pregnancy has never occurred. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.

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In order to conceive, your sperm must be:  Highly concentrated — normally, there should be at least 15 million sperm in every ml of semen5  Moving well (motile) — a lashing tail helps your sperm to swim to your partner’s egg  Normally shaped — healthy sperm should be shaped like a streamlined tadpole  You may find that your semen contains a very low number of sperm (oligozoospermia), or no sperm at all (azoospermia). Alternatively, the patient may bypass surgical treatment and proceed directly to intrauterine insemination or in vitro fertilization, depending on the severity and the female partner's age. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. Several studies indicate that in some cases, a simple change in lifestyle could help patients suffering from anovulation.