Infertility

Unexplained Infertility in Females

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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. About one-third of infertility cases are caused by fertility problems in men and another one-third of fertility problems are due to fertility problems in women.

Assisted conception The following methods are currently available for assisted conception. The prostate also secretes zinc, phospholipids, phosphatase, and spermine. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.

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If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Problems with ejaculation or ejaculate Having difficulty ejaculating or noticing changes in the ejaculate, such as a drop in volume, may also be a sign of an underlying issue related to a man's fertility. The etiology is unknown but is probably multifactorial. LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R.

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Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. First-line therapy is the ultrasound-guided transvaginal puncture. If too many embryos develop, one or more can be removed.

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If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Chronic anovulation is a common cause of infertility. Hence the ability to conceive a normal pregnancy decreases from when a woman is in her early 30s into her 40s. 5-5 mL, and the WHO lower reference limit (5th percentile) is 1. Reifenstein syndrome in males involves partial androgen insensitivity in males and presents as a spectrum of abnormal external genitalia and infertility.[22] Because cells inadequately respond to androgen stimulation, spermatogenesis is impaired.


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See also
Infertility Hospital in Karachi
Infertility Support Groups Sydney
Women's Infertility Center