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ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Infertility in men Semen and sperm The most common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. ICSI can be performed when sperm counts are extremely low or abnormal. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle.

To analyze tubal causes of sterility, different methods can be considered. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. 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). Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year.

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The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. In most cases, only 1 follicle is recruited and develops until ovulation. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Nonfunctional pituitary tumors may compress the pituitary stalk or the gonadotropic cells, interrupting the proper chain of signals leading to pituitary failure. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974.

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A decreased testosterone level with an increased FSH level points to primary hypogonadism. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Problems with any of these steps may lead to infertility.Birth outcomes are compared after elective cryopreservation and delayed transfer versus fresh embryo transfer.Semen analysis The semen analysis is the cornerstone of the male infertility workup. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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If stem cells remain viable after radiation therapy, patients may regain fertility within several years. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. In addition to a careful history, a physical evaluation may also be performed. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1.