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0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1. Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects.

Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. 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 following problems are possible: Low sperm count: The man ejaculates a low number of sperm. For conception to take place, several events should happen correctly and at exactly the right time.

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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization.

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The extra heat caused by the vein can lead to low sperm count and impaired sperm movement. Frustratingly, sometimes there may be no clear reason and you may be diagnosed with unexplained infertility. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Use of clomiphene citrate in infertile women: a committee opinion. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates.

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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. This technique involves an injection of a single healthy sperm directly injected into mature egg. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. The abnormalities need to be evaluated from a genetic point of view because any male offspring would inherit the same issue as the father. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Endometriosis may be treated through laparoscopic surgery. CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy.