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Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. The mature spermatid is then located adjacent to the tubule lumen and contains dark chromatin with an oval-shaped nucleus. The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary. Get Permissions Email Alerts Don't miss a single issue. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. European Association of Urology guidelines on male infertility: the 2012 update.

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This technique involves an injection of a single healthy sperm directly injected into mature egg. In addition to a careful history, a physical evaluation may also be performed. Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%.

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B.: No role for basal body temperature charts) Basic Work-up for Infertility 14. Ovarian reserve -More important in >35 years old, suspected ovarian failure and to detect response to ovulation induction. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Thus it is essential to evaluate both the man and the woman. Controversy exists regarding whether to routinely repair an adolescent varicocele not associated with testicular atrophy. Structural abnormalities in the uterus: these can affect the cervix or the uterine corpus.  Anomalies can be anatomical (septate uterus, T-shaped uterus, etc.) or pathologies that generate embryo implantation issues or issues with how the pregnancy progresses: polyps, endometritis, Asherman's syndrome - synechiae or adherences of the walls of the uterine cavity - or myomas, a benign tumour that generates anatomical distortion and makes getting pregnant complicated (this is one of the most common pathologies but does not necessarily cause fertility issues). Even if you choose not to have your activity tracked by third parties for advertising services, you will still see non-personalized ads on our site. The relation between daily activities and scrotal temperature. Conversely, a young overweight woman who manages to lose weight could also relieve the problem of anovulation (losing just 5% of body mass could be enough to restart ovulation). Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Tubal microsurgery and laparoscopic tubal surgery: - May be more effective than no treatment. - No strong evidence. (e.g.: fimbrial end dilatation) 2.