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Frustratingly, sometimes there may be no clear reason and you may be diagnosed with unexplained infertility. The pregnancy test is then performed 2 weeks after the egg retrieval.

ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Some women are infertile because their ovaries do not mature and release eggs. Injuries include abdominal wall hematoma, umbilical hernias, umbilical wound infection, and penetration of blood vessels or small or large bowel.[24] The risk of such injuries is increased in patients who have a low body mass index[25] or have a history of prior abdominal surgery. Normal sperm have a smooth oval head approximately 3-5 μm long and 2-3 μm wide. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992.

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They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen.

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Management of the infertile couple: an evidence-based protocol. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973.

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These abnormalities can also cause irregular bleeding between menstrual cycles. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. In this condition, semen ejaculates backwards into the bladder instead of out the penis. Acquired anestrus may result from previous oophorectomy, exogenous hormonal treatment (including glucocorticoids), profound hypothyroidism, or ovarian disease (cysts or neoplasia).