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CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. As a woman gets older, the number of her eggs decreases rapidly.

Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Around one third of couples have difficulty conceiving due to a low sperm count.

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Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Patients with a grade 1-3 varicocele (visible or palpable) associated with infertility should consider having the varicocele repaired. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes.

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The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. An increased volume is rarely observed and is often caused by a contaminant, such as urine. Cervical surgery can sometimes cause scarring or shortening of the cervix. The emotional toll on both partners can affect their relationship. Happily, many couples treated for infertility go on to have babies.

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Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). The new definitions drawn up by WHO’s international committee monitoring assisted reproductive technology will be sent to every health minister for consideration next year.Sterility, also referred to as infertility, is defined as an inability to conceive a child after trying to do so for at least one year. If the egg does not travel, it can be harder to conceive naturally. Basal body temperature (BBT) can be used to observe the thermogenic shift (temperature rises 0. Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. The fertilized egg moves down the fallopian tube towards the uterus.


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