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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm.

Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Causes of infertility and sterility In 30% of all cases, the cause is in the female partner. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap.

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The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). Prolonged diestrus can result from luteal cysts in the ovary. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. ART techniques generally start with stimulating the ovaries to increase egg production.

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37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. However, it could be the future for the treatment of multiple diseases, including infertility. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism).

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A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months. Transitions of the tube mucosa with luminal adhesions develop from recent infections of the genitalia involving the adnexa. These numbers are comparable to those of other industrialized nations. 4 IU per L]) can help differentiate between primary and secondary disorders. 6,8,23 A high FSH level (10 to 20 mIU per mL [10 to 20 IU per L]) drawn on day 3 of the menstrual cycle is associated with infertility. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Patients have eunuchoidal body habitus, large testis, and a low ejaculatory volume. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. Government, the Department of Defense, or the Department of the Air Force. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007.