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A bicornuate uterus is characterized by the presence of an indentation at the fundus. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year.

Passive smoking has also been linked to lower fertility. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant.

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These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1.

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Symptoms of hormone fluctuations Signs of hormone fluctuations in women could indicate potential issues with fertility. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. For some women, these devices do not detect the LH surge, or high levels of LH are a poor predictor of ovulation; this is particularly common in women with PCOS.

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Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. The following hormones can be identified in the blood among others: FSH, LH, estradiol, prolactin, testosterone, DHEA-S and the thyroid hormones. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). It is better for a couple to see the doctor together. 4 mL and an increase in sperm density by 10-15 million sperm/mL, for up to 7 days. There are tests that may tell if you have fertility problems. Unexplained fertility affects about 10 percent of couples worldwide. In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. 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). This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Changes in sexual desire A man’s fertility is also linked with his hormone health. Kennel or cattery management should allow for breeding males to remain cool during the summer. In 1981, Semm, from the gynecological clinic of Kiel University, Germany, performed the first laparoscopic appendectomy.