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NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility.

Many couples with infertility issues go on to have successful pregnancies. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Guidelines and recommendations were retrieved from the best evidence reviews at the American College of Obstetricians and Gynaecologists (ACOG), American Society for Reproductive Medicine (ASRM), Canadian Fertility and Andrology Society (CFAS), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority (HFEA), Royal College of Obstetricians and Gynaecologists (RCOG), and the World Health Organization (WHO).

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The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities.

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Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. Symptoms depend on what is causing the infertility. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.

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Their ability to move (> 60%) and forward progression (more than 2 on a 1-to-4 scale). Congenital Adrenal Hyperplasia: Occurs when the pituitary is suppressed by increased levels of adrenal androgens.  Symptoms include low sperm count, an increased number of immature sperm cells, and low sperm cell motility.  Is treated with cortisone replacement therapy.  This condition is found in only 1 percent of infertile men. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. The success rate of tubocornual anastomosis ranges from 20-58%. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.


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