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Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions.

A varicocele is a varicose vein found in the scrotum. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. A systematic review of tests predicting ovarian reserve and IVF outcome.

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Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Sex any time in the five days before ovulation can create a pregnancy.

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Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Medical treatment for minimal to mild disease has not been shown to be of benefit. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. In 1978, the first baby was born as a result of IVF.

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Some women are infertile because their ovaries do not mature and release eggs. Treatment options available for any particular infertile couple will depend also on the duration of their infertility, which partner is affected, the age of the female partner and if any has a previous children or not, the underlying pathological cause, and if the treatment will be covered by the National Health System (NHS) or funded by their own. Sterilisation Some women choose to be sterilised if they don't want to have any more children. Before performing a tubocornual anastomosis, the patient should have a diagnostic laparoscopy associated with tubal cannulation by hysteroscopy. [139, 140, 141] If one tube remains open, anastomosis is not needed because pregnancy can be achieved in 50% of cases. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Men should undergo evaluation with a semen analysis. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. It causes a blood stasis that raises the temperature of the scrotum. Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Listen to Mr Brook talk about male infertility Find out more about ICSI. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Metformin (Glucophage) is another type of medication that may help you ovulate normally if you have insulin resistance or PCOS (polycystic ovarian syndrome). This page covers the possible causes of infertility in men and women. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.