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There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. This study was carried out in accordance with the requirements of the University of Bristol Regulations and Code of Ethics for Research Programmes. Conditions including PCOS, the presence of excess prolactin, or premature ovarian failure can create ovulation disorders.  Tubal occlusion  According to other research, fallopian tube disorders lead to between 35 and 40 percent of infertility cases.

The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails.

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Intra-uterine insemination for male subfertility. The evaluation of the azoospermic male: AUA best practice statement. The identification of anovulation is not easy; contrary to what is commonly believed, women undergoing anovulation still have (more or less) regular periods. A uterus capable of developing and sustaining the conceptus to maturity.

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Ovulation should be documented by serum progesterone level measurement at cycle day 21. The results of these tests help determine the best fertility treatment.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Options for treatment may include: Treatment with antibiotics, in cases of infection Surgical correction, in order to remove a varicocele, reverse a vasectomy, or repair a duct obstruction Medications or fertility drugs to improve sperm production In cases where the above treatments are unsuccessful, or when the cause of male infertility is unknown or untreatable, IUI treatment or IVF treatment may be suggested. Most couples (about 84%) who have regular sexual intercourse (that is, every two to three days) and who do not use contraception get pregnant within a year. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. In the 1980s, a pure form of FSH became available.