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Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus.

However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy. Author disclosure: No relevant financial affiliations.

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However, the . clinical management . of the infertility in these patients is difficult Source : Infertility And Sterility PPT Presentation Summary : Infertility and Sterility. They get worried that they will be stereotyped.” Ross reminds men that “most problems with [reproduction] do not affect their ability to produce male hormones, their sexual function, or their maleness.” But even if things look bleak, the experts still have some hopeful advice: Keep trying. Because cortisol is not secreted, a lack of feedback inhibition on the pituitary gland occurs, leading to adrenocorticotropic hormone (ACTH) hypersecretion. Endometrial polyps Endometrial polyps are growths found in the uterine cavity.

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Use of clomiphene citrate in infertile women: a committee opinion. These time intervals would seem to be reversed; this is an area where public policy trumps science. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39].

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After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). An ultrasound scan can detect an ectopic pregnancy. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. Theoretically, with this therapy, we can get artificial gamets in vitro.