Infertility

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A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008.

2012;27(8):2396–2404.   Want to use this article elsewhere? When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase.

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MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. Furthermore, as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases. This diagnosis is therefore shared by 15% of couples attempting to conceive.

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Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts.

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According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. This procedure can, in selected cases, also be performed laparoscopically, often with the assistance of a robot.Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning 'flank, side', and σκοπέω (skopeo), meaning 'to see') invented by George Kelling in 1901, in Germany, is an operation performed in the abdomen or pelvis using small incisions (usually 0. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Chemotherapy: Some chemotherapy drugs can result in ovarian failure.


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