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The more fetuses there are, the higher the risk of premature labor. A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments.

Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate). Programming of Ovarian Stimulation with Norethindrone Acetate in IVF/GIFT Cycles. (PDF, 2 MB) Human Reproduction, 1989. It's sometimes done while you're taking meds that help trigger the release of an egg. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome.

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Thus those who repeatedly spontaneously miscarry or whose pregnancy results in a stillbirth, or following a previous pregnancy or a previous ability to do so, are then not unable to carry a pregnancy to a live birth would present with secondarily infertile. (Trends in prevalence4).WHO manual for the standardized investigation and diagnosis of the infertile couple This concise 1993 volume proposes a standardized approach to the investigation of infertility. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Several studies have reported different causes of infertility [7-9].

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In another third of cases, it is because of the man. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. A review of records from other fertility doctors that you have seen is also important. According to the literature survey, the most common causes of infertility are: male factor [5,7-9,13-15] such as sperm abnormalities [9,13,15], female factor [7-9,14-16] such as ovulation dysfunction [7,8] and tubal pathology [7-9], combined male and female factors [7,9,14,15] and unexplained infertility; where no obvious cause could be detected [7-9]. Preconception lifestyle advice for people with subfertility. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW.

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Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. 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. Hystersalpingography (HSG): - usually after failed successive cycles of ovulation induction, and in some centres after failed IUI. - good predictive but requires expertise. Erectile dysfunction, vaginismus (painful involuntary spasm of vagina preventing intercourse) and dyspareunia (pain during sexual intercourse) can explain involuntary childlessness in some couples. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year.