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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Are Sequence Family Variants Useful for Identifying Deletions in the Human Y Chromosome? (PDF, 377 KB) The American Journal of Human Genetics, 2004. Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility.

The pregnancy test is then performed 2 weeks after the egg retrieval. If you and your partner agree, extra embryos can be frozen and saved to use later.

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Most of infertile couples are aware of what can be offered to them from the media. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before.

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Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Evaluation of the Female Partner: Other Tests Other tests to evaluate a woman’s fertility include: Hysterosalpinogram (HSG). An ultrasound scan can detect an ectopic pregnancy. Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Surgical ablation: - In minimal or mild endometriosis; surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis improves the chance of pregnancy. - Laparoscopic resection of endometriomas may be beneficial, however recent RCTs suggest intervention only in endometriomas > 4cm. - In moderate or sever endometriosis; surgical treatment should be offered. (Debatable) - Post-operative medical treatment does not improve pregnancy rates. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. Symptoms depend on what is causing the infertility. This should be followed by documentation of ovulation via serum progesterone. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure.