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An on-line WHO infertility virtual consultation course includes a 5 module WHO evidence-based medicine course, as well as a 16 module ASRM eLearning course which reviews the evidence-base for the basic diagnosis of the infertile male and female, coupled with management and treatment. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989.

Endometrial polyps Endometrial polyps are growths found in the uterine cavity. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998.

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Up to 2 percent of men are thought to have suboptimal sperm. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. View Media Gallery Uterine synechiae Uterine synechiae are corrected using operative hysteroscopy.

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Most couples (approximately 85%) will achieve pregnancy within one year of trying, with the greatest likelihood of conception occurring during the earlier months. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Several studies have reported different causes of infertility [7-9]. These medications may help to address male infertility caused by erectile dysfunction. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus.

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These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. Infertility caused by DNA defects on the Y chromosome is passed on from father to son. It is further sub-divided into primary and secondary sterility. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. Let’s review some of the most common causes of infertility in women: Ovulation disorders  Ovulation disorders account for 25 percent of the cases of infertility in women. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. The typical indication is the oligoasthenoteratozoospermia here. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin. Judaism and Repoductive Technology. (PDF, 160 KB) 2003.