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Effectiveness of the postcoital test: randomised controlled trial. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004.

However, its value has been questioned because some studies have found no correlation between the presence or absence of viable sperm in the mucus and subsequent fertility. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Hormonal abnormalities can sometimes be treated with medicine or surgery.

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Today, many patients do not receive the recommended medical care that based on the best available evidence [5]. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia.

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An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010.

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However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. The abdomen is usually insufflated with carbon dioxide gas. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. Evaluation should be pursued by 6 months of attempted pregnancy in women with a known history of these abnormalities or a history of bleeding between menstrual cycles. Veltman-Verhulst SM, Cohlen BJ, Hughes E, Heineman MJ. It is possible that this mechanism evolved to protect the mother’s health. The most common technique of artificial insemination in human beings is intrauterine insemination. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. It could be related to hormone issues, to endometriosis, or to other underlying conditions that could also be contributing to infertility. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. This measurement is called the antral follicle count and may correlate with fertility potential. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). A typical adverse effect can be ovarian hyperstimulation. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010.