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This test is performed early in the menstrual cycle after bleeding has stopped but prior to ovulation. After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. If a deficit of greater than 1 L is recorded, the procedure should be terminated, and, preferably, the myomectomy should be completed in a second hysteroscopic attempt. Basal body temperature (BBT) can be used to observe the thermogenic shift (temperature rises 0. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists.

Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.

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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. Infant Source : Fertility And Family Fembryo PPT Presentation Summary : FERTILITY AND FAMILY. 2012;27(8):2396–2404.   Want to use this article elsewhere?

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Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999.

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Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Reduced fecundability in women with prenatal exposure to cigarette smoking. Treatment of the cause: 28. Tubal and uterine factors: 4. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. 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. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women. Once eggs and sperm are collected, the actual process of injecting a single sperm into the egg is carried out in a laboratory using a petri dish or a glass slide with a well in the center. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation.