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Acog Guidelines for Infertility
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This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. Once patients desire to have children, they proceed with stimulation of the ovaries, oocyte aspiration, and in vitro fertilization, but the embryos are transferred to a gestational carrier (see In Vitro Fertilization).
In men, cigarette smoking and alcohol use may cause poor sperm quality, and marijuana use can also be implicated in lower sperm motility and count. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Homologous insemination refers to the use of sperm from the patient's partner. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Intra-uterine insemination for unexplained subfertility.
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The dye outlines the cavity of the uterus and spills out of the fallopian tubes. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. In 30% of all cases, the cause is in both partners: combined sterility. Couples will have to consider the ethical and emotional aspects of this procedure.
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Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. Up to 2 percent of men are thought to have suboptimal sperm.
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Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. Semen is the milky fluid that a man's penis releases during orgasm. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. In younger women taking them at lower doses for a short period of time, fewer adverse effects are noted. Success rates reported by various practices that offer ICSI range from 15% to 30% per egg retrieval. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.
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Infertility Brigham and Women's Hospital
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