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To analyze tubal causes of sterility, different methods can be considered. About 25% of all infertility is caused by an ovulation disorder. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. Tubal obstructions can precisely be localized like this. The opening improves the ability of the embryo to implant into the uterine lining. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ...

This allows the physician to evaluate the woman for any pelvic disease, particularly endometriosis, which may interfere with conception. Hypospadias affects about 1 in every 500 newborn boys. Oligospermia is defined as fewer than 20 million sperm/mL, severe oligospermia is less than 5 million/mL, and azoospermia is defined as no sperm present. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. A doctor or WHNP takes a medical history and gives a physical examination.

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Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Moderate ovarian hyperstimulation syndrome is characterized by ovarian enlargement (5-12 cm in diameter) moderate ascites, nausea, vomiting, abdominal discomfort, and weight gain greater than 10 lb. About 85% of couples will have had a pregnancy by that point. “If they are over 30, they should seek evaluation after six months.” Continued Common causes of male infertility The “male factor” contributes to infertility around half the time, and about one third of the time, it's the main cause of infertility. Erectile dysfunction Erectile dysfunction is when a man cannot get or keep an erection (get hard) for sex.

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Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Bromocriptine and cabergoline are dopamine agonists used to suppress prolactin levels. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort.

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Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Sometimes, female infertility is related to a hormone problem. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Germ cells and white blood cells both appear as round cells on microscopic examination, so immunohistochemical stains are used to differentiate the 2 cell types. Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality. Age: Male fertility starts to fall after 40 years.