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Sperm production problems One of the most common causes of male infertility is problems with sperm production. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Find an IVF Doctor  |  Free IVF Class  | Class Testimonials 5) Third party reproduction: This is a general reference to a general process where another person provides sperm or eggs, or where another woman acts as a gestational surrogate, with the purpose of helping another person or couple have a child. This abnormality is usually surgically corrected in infancy.

Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. That is why a complete build-up of the endometrial mucosa is not possible anymore. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity. Ovulation should be documented by serum progesterone level measurement at cycle day 21.

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Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections.

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Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic.

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Symptoms depend on what is causing the infertility. Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. Effectiveness of the postcoital test: randomised controlled trial.