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Sperm counts can fluctuate, so that several samples may be necessary. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976.

In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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It is better for a couple to see the doctor together. Causes of Infertility Affecting Both Partners Some causes of infertility, such as psychological causes, may be relevant to both partners. Problems maintaining erection A man’s ability to maintain an erection is often linked to his hormone levels. Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6.

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These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3).

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The ovum has a much shorter life expectancy – less than 1 day if it is not fertilized. Delayed conception and active and passive smoking. Products include enzymes and proteases to liquefy the seminal coagulum. Other causes may include: Genetic factors: A man should have an X and Y chromosome. Wählen Sie „OK“, um fortzufahren und Oath und seinen Partnern zu erlauben, Ihre Daten zu verwenden, oder wählen Sie „Optionen verwalten“, um Ihre Auswahlmöglichkeiten anzuzeigen.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. 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). There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM). An increased volume is rarely observed and is often caused by a contaminant, such as urine. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being.