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Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Occasionally, the cytoplasm contains crystalloids of Reinke after puberty. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991.

Ideally, the cause of the infertility is reversible and then conception can result from natural sex. However, future pregnancy is possible with the other ovary and tube. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. 30% of women face reproduction issues at this age because ovarian reserve decreases, there are fewer eggs and they are of an inferior quality.

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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. It involves removing eggs from the ovary of a donor who has taken fertility drugs. Paternal age > or = 40 years: an important risk factor for infertility. In-vitro fertilization and donor insemination are major procedures involved. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999.

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ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to.

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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. In many cases, there are tests that can help find the cause(s) of male infertility. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.