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Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. 6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality.

The interstitium between the seminiferous tubules contains the Leydig cells, fibroblasts, lymphatics, blood vessels, and macrophages. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Passing very dark, old blood at the beginning of a period can also be a sign of endometriosis.

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The doctor may ask about the couple's sexual habits and make recommendations regarding these. These rates, of course, readjusted down for the older women with long durations of infertility [42]. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. 0 This concept is a form of artificial insemination.

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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Intra-uterine insemination for unexplained subfertility. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production. Laparoscopic cholecystectomy is the most common laparoscopic procedure performed.

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Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding). Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. In 1978, the first baby was born as a result of IVF. Most people will have the strong desire to conceive a child at some point during their lifetime. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Kennel or cattery management should allow for breeding males to remain cool during the summer. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. ART: Gamete Intrafallopian Transfer (GIFT) GIFT is a procedure that involves ovarian stimulation, egg retrieval, and placing a mixture of sperm and eggs directly into the woman’s fallopian tube to foster fertilization inside the female body.