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Obstetrics-Gynecology & Infertility Group

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If the egg does not travel, it can be harder to conceive naturally. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap.

Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests. But it may actually point to an underlying condition, such as endometriosis or pelvic inflammatory disease.

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And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. Human menopausal gonadotropins Crowe discovered that the gonads were under the control of the anterior hypophysis. [175] Zondek and Aschheim discovered that FSH and LH were responsible for the development of the gonads in immature animals and confirmed Crowe's work. [135, 136] In the 1930s, ovulation induction was attempted by using gonadotropins from a mare, but its use was discontinued because of the development of antibodies. [176, 177] Borth et al demonstrated the effect of FSH and LH extracted from menopausal urine. [178, 179] Gemzell reported the first ovulation induction using human pituitary gonadotropin in 1958, and the first pregnancy was reported in 1960. [180, 181] Lunenfeld reported preliminary results using hMG; however, in 1963, it was definitely established as a real ovulation induction agent. [182, 183, 184] Human menopausal gonadotropin (hMG [eg, Repronex, Menopur]) contains 75 U of FSH and 75 U of LH per mL, although the concentration may vary among batches (ranges from FSH at 60-90 U and LH at 60-120 U). Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972.

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Additionally, the sperm may be unable to cross the cervical mucus or may have ultrastructural abnormalities. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Checking the woman’s fallopian tubes to make sure they are not blocked. The systems enhance the manual possibilities of the surgeon and his/her team, regarding the need of replacing static holding force during the intervention.[citation needed] Some of the features are:[citation needed] The stabilisation of the camera picture because the whole static workload is conveyed by the assistance system. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. 6,23 Anovulatory women should have further investigation to determine treatable causes such as thyroid disorders or hyperprolactinemia based on symptoms. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones.


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