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Listen to Professor Cheong talk about the fertility investigations we offer       Repeated pregnancy loss Some people may not have difficulty conceiving, but have suffered from miscarriages. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. You take gonadotropins that trigger the development of more than one egg. Medical conditions Some medical conditions can affect fertility. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus.

They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility.

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Testosterone and estradiol function as feedback inhibitors of gonadotropin release. LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R. Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. Moderate alcohol consumption has not been shown to lower fertility in most men, but it may affect those who already have a low sperm count.

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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.

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Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level.