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Calcification of the Seminal Vesicles and Vas Deferens in a Uremic Patient. (PDF, 3 MB) The Journal of Urology, 1971. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. In some cases, simply removing the submucosal fibroid solves infertility. Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. In-vitro fertilization and donor insemination are major procedures involved.

These adverse effects were reported in older women with advanced breast cancer who were given the drugs on a daily basis over several months. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Testing may begin with a physical exam and questions about past medical problems. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973.

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Causes in women Infertility in women can also have a range of causes. 2012;27(8):2396–2404.   Want to use this article elsewhere? The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.

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Treatment of Female Infertility: Assisted Reproductive Technology (ART) Assisted Reproductive Technology (ART) is a term used to collectively describe a number of noncoital methods of conception that treat causes of infertility not responsive to conventional methods. Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. A decreased testosterone level with an increased FSH level points to primary hypogonadism. Acquired anestrus may result from previous oophorectomy, exogenous hormonal treatment (including glucocorticoids), profound hypothyroidism, or ovarian disease (cysts or neoplasia). Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Germ cells (precursors to spermatozoa) are derived from the gonadal ridge and migrate to the testicle before testicular descent.

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A review of records from other fertility doctors that you have seen is also important. The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic. When this happens, it causes something called a varicocele. Assisted hatching: The embryologist opens a small hole in the outer membrane of the embryo, known as the zona pellucid. Some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa [10]. American Urological Association Education and Research, Inc. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. A majority of the results are in the normal range here which is why it is also called idiopathic sterility. Medical treatment for minimal to mild disease has not been shown to be of benefit. The initial dose is 500 mg PO qd for 7 days, then 500 mg bid for another 7 days, and, finally, 500 mg tid. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Negative tests with immotile sperm in the cervical mucus suggest rare immunological causes of sterility. The authors of the new global standards said the revised definition gave every individual “the right to reproduce.” Until now, the WHO’s definition of infertility—which it classed as a disability—has been the failure to achieve pregnancy after 12 months or more of regular unprotected sex.