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Pelvic inflammatory disease Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, which includes the womb, fallopian tubes and ovaries. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. It is often prescribed for Crohn's disease or rheumatoid arthritis. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue.

Chances of conception People who are concerned about their fertility should be informed that over 80% of couples in the general population will conceive within 1 year if: - the woman is aged under 40 years - they do not use contraception and have regular sexual intercourse. Half of those who do not conceive in the first year will do so in the second year (cumulative pregnancy rate over 90%)(cumulative pregnancy rate over 90%) 5. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter.

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Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. 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.

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Infertility in women Infertility is most commonly caused by problems with ovulation, the monthly release of an egg. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

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Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. This relatively simple test involves the man providing a semen sample for a lab to evaluate. Experts differ as to when genetic tests should be done. Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery. A history and physical examination can help direct the evaluation. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe.