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Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract. This measurement is called the antral follicle count and may correlate with fertility potential.

This technique should be reserved for myomas with a diameter less than 6 cm. [123] Several cases have been reported of uterine rupture during pregnancy because the reconstruction of the uterus after laparoscopic myomectomy was not as good as a myomectomy performed using laparotomy. [124] Operative hysteroscopy: The removal of a submucous fibroid using hysteroscopy should be limited to small fibroids (≤3 cm) with minimal compromise of the myometrium. [81] This is important to decrease the risk of excessive bleeding and to decrease the risk of electrolyte imbalance, water intoxication, and pulmonary edema from excessive intravasation of Hyskon, glycine, or sorbitol used during the procedure. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.

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The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. The initial dose is 500 mg PO qd for 7 days, then 500 mg bid for another 7 days, and, finally, 500 mg tid.

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The elevated temperature hinders the maturation process of sperm, which develop best in an environment that is slightly cooler than body temperature. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal.

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There are four parameters analyzed: 1) semen volume – should be at least 1. Mixed gonadal dysgenesis (45, X/46, XY) Patients usually have ambiguous genitalia, a testis on one side, and a streaked gonad on the other. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods. Obesity and increased risk for oligozoospermia and azoospermia. At the same time, the number of pregnancy losses and malformations in the foetus increase. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor.