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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. Infertility is caused by primary testicular failure, and most patients are azoospermic. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases.

Hysteroscopy can also be combined with laparoscopy when necessary. In this case, your doctor may recommend surgically extracting sperm from part of your reproductive tract to help you to conceive.

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The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. A decreased testosterone level with an increased FSH level points to primary hypogonadism.

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Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Careful monitoring during treatment and pregnancy can help reduce the risk of complications. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. On the other hand, excess weight can also create ovarian dysfunctions.

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The fertilized eggs, now embryos, are allowed to grow and develop in culture media for typically 3 to 5 days. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Causes[edit] Hormonal imbalance[edit] This is the most common cause of anovulation and is thought to account for about 70% of all cases.