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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. In response to FSH stimulation at puberty, germ cells become spermatogonia and undergo an ordered maturation to become spermatozoa.

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. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

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For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process.

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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. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. In recent years, electronic tools have been developed to aid surgeons. 40 Patients using these agents should be counseled about these risks. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. Tests and trials are available, but testing does not always reveal a specific cause. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. However, future pregnancy is possible with the other ovary and tube. Check out our online medical courses and start now for free! Genetic tests can identify specific obstacles to fertility and problems with sperm. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J.