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Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. One of the common causes of infertility is infrequent intercourse.

Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. The final third may be due to a combination of both, other factors, or unknown causes. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. In the 1980s, a pure form of FSH became available.

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Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. They are then processed and introduced to eggs by different methods.

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Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004.

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Unexplained fertility affects about 10 percent of couples worldwide. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. About one-third of infertility cases are caused by fertility problems in men and another one-third of fertility problems are due to fertility problems in women. Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. 0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1. Causes[edit] Hormonal imbalance[edit] This is the most common cause of anovulation and is thought to account for about 70% of all cases. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. The most common of these tests include measurements of blood levels of certain hormones such as estradiol and FSH, which are related to ovarian function and overall egg numbers; TSH, which assesses thyroid function; and prolactin, a hormone that can affect menstrual function if elevated.