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Maternal age Infertility due to age is one of the most common causes of female infertility. Further investigations may be requested according to the clinical presentation and the results of preliminary tests.

Immotility of the sperm can be caused by antibodies against the sperm. Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined.

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In theory, it is possible to conceive on any of these 6 days that occur before and during ovulation. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Review Questions The answers can be found below the references. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men.

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Vascular injuries can result in hemorrhage that may be life-threatening. Examples of such health issues include infections, endometriosis, and fibroids. 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.

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It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation. No consensus exists as to whether the medical treatment should precede surgery or vice versa. [154, 155, 156] Those who prefer medical treatment first argue that the size of the endometriosis decreases; therefore, surgery will be easier and shorter. A small Steering Committee with six Expert Working Group Chairs, local Swiss experts, as well as Presidents, Chairpersons and representatives of ASRM1, ESHRE2, FIGO3, GFMER4, ICMART5 and IFFS6 came to the table to share experiences, to present their current (or in-process) guidelines and to recommend a collaborative process for moving forward to generate global guidelines. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Ideally, the cause of the infertility is reversible and then conception can result from natural sex.


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