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It involves: A vagina capable of receiving sperm. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. PPT Presentation Summary : Embryo cryopreservation (via ovulation induction) Oocyte cryopreservation. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency.

In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). This is taken from the vaginal vault as well as from the cervical canal. Luciano AA, Peluso J, Koch EI, Maier D, Kuslis S, Davison E. Lack of pregnancy Lack of pregnancy can be related to disruption of the cervical mucus, inadequate follicular development, presence of luteinized unruptured follicle syndrome, progesterone deficiency, and premature administration of hCG to trigger ovulation.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Symptoms can also depend on what is causing the infertility. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002.

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The opening improves the ability of the embryo to implant into the uterine lining. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Medical conditions Some medical conditions can affect fertility. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility.