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About 25% of all infertility is caused by a sperm defect and 40-50% of infertility cases have a sperm defect as the main cause, or a contributing cause. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis.

Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus.

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WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY STERILITY? Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

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The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. Treatment of the cause: Male Factor: (Liaise with the andrologist) 1.

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If a couple has never produced a pregnancy, it is defined as primary infertility. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. If a woman has an ovulation disorder, she may ovulate infrequently or not all. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.