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Congenital Absence of the Vas Deferens: The Fertilizing Capacity of Human Epididymal Sperm. (PDF, 3 MB) New England Journal of Medicine, 1990. The more fetuses there are, the higher the risk of premature labor. Surgical Intervention Uterine anomalies can be corrected through operative hysteroscopy under general anesthesia or conscious sedation. [116] Ideally, the procedure should be performed during the early follicular phase and under laparoscopic surveillance to decrease the risk of uterine perforation. Infant Source : Fertility And Family Fembryo PPT Presentation Summary : FERTILITY AND FAMILY.

Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby.

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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. However, if the woman has previously been pregnant, regardless of the outcome (which may have been a premature or full-term delivery, spontaneous abortion, induced abortion or ectopic pregnancy), and is now unable to conceive, it is considered secondary infertility. Up to 2 percent of men are thought to have suboptimal sperm. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. Intra-uterine insemination for male subfertility.

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Histologic endometrial dating is not considered reliable nor is it predictive of fertility. The man is advised not to ejaculate for 2 to 3 days before giving the semen sample for evaluation.

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Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. It also tests for a luteal phase defect (inadequate level of progesterone). 0 The reflection of malformations, dysplasia or hypoplasia of the uterus is possible with hysterosalpingoscopy. The laboratory evaluation begins with a semen analysis. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. CAH may be due to the congenital deficiency of one of several adrenal enzymes, the most common of which is 21-hydroxylase deficiency. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010.