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As a woman gets older, the number of her eggs decreases rapidly. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. This reduction division (ie, meiosis) results in a haploid chromosome number. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. The laboratory evaluation begins with a semen analysis. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes.

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Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged.

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With laparoscopy providing tissue diagnosis, and helping to achieve the final diagnosis without any significant complication and less operative time, it can be safely concluded that diagnostic laparoscopy is a safe, quick, and effective adjunct to non‑surgical diagnostic modalities, for establishing a conclusive diagnosis, but whether it will replace imaging studies as a primary modality for diagnosis needs more evidence.[34] History[edit] Hans Christian Jacobaeus It is difficult to credit one individual with the pioneering of the laparoscopic approach. Uterine fibroids Fibroids are noncancerous growths in the uterus. Polycystic ovary syndrome (also known as Stein-Leventhal syndrome) and hyperprolactinemia can also cause anovulatory cycles through hormonal imbalances.[1][2] Functional problem[edit] This accounts for around 10-15% of all cases of anovulation. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998.

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Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). These numbers are comparable to those of other industrialized nations. Infertility is caused by primary testicular failure, and most patients are azoospermic. 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. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Testosterone and estradiol function as feedback inhibitors of gonadotropin release. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues.