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Primary testicular causes of infertility Primary testicular problems may be chromosomal or nonchromosomal in nature. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Couples may decide to go ahead regardless if the desire to become pregnant is very strong.

The facilities available and the skills of personnel are the major determining factors for the success rate. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. These tests are used to determine gland failure or obstruction.

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It may come as a surprise if you’ve spent most of your adult life trying to avoid it, but conceiving is actually a lot harder than you may expect. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome.

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When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Female age of 35 years or older: For unclear reasons, egg numbers decrease at a rapid rate as women age. Injuries to the bowel can cause a delayed peritonitis. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form.

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Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Web of Science, in-addition to the relevant printed medical journals and periodicals. That is why a continuous sonographic control and also lab-medical controls are made. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. A majority of the results are in the normal range here which is why it is also called idiopathic sterility. Once a diagnosis has been made, you and your partner can consider the various treatment options. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant.