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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Three types are described: A dark (Ad), A pale (Ap), and B cells. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Prolactinoma A prolactin-secreting adenoma is the most common functional pituitary tumor. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being.

Mutations in the Cystic Fibrosis Gene in Patients with Congenital Absence of the Vas Deferens. (PDF, 5 MB) New England Journal of Medicine, 1995. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Environmental vs Genetic Sex Determination: A Possible Factor in Dinosaur Extinction? (PDF, 307 KB) Fertility and Sterility, 2004. Any abnormality in the tubes can affect or impede conception: hydrosalpinx, tubal occlusion or salpingitis.

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IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. A review of records from other fertility doctors that you have seen is also important. Treatment of the cause: 24. Ovulation disorders: (Group I) - Weight gain if BMI less than 19. - pulsatile administration of gonadotrophin-releasing hormone or gonadotrophins with luteinising hormone activity to induce ovulation. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Up to 2 percent of men are thought to have suboptimal sperm.

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As a woman gets older, the number of her eggs decreases rapidly. Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome).

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3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Sterility can affect both men and women, with the cause involving either one or both parties. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Semen is the milky fluid that a man's penis releases during orgasm. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. Bromocriptine (Parlodel): This drug inhibits prolactin production. Intracytoplasmatic Sperm Injection (ICSI) An intracytoplasmatic sperm injection is also a form of artificial insemination. As a woman gets older, the number of her eggs decreases rapidly. Everyone was so helpful and here for all our questions, worries, etc. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole.