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Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003. There are many factors that may be causing your fertility difficulties. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. FSH has a lower plasma concentration and longer half-life than LH, and it has less obvious pulsatile changes.

Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Overweight or obesity: This may reduce the chance of conceiving. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995.

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In the testicle, germ cells (especially up to the preleptotene stage) are especially at risk. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome.

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It is important to undergo a thorough fertility evaluation to determine the problem. Sexual history – One of the purposes of obtaining a sexual history is to determine whether the partners have any sexual disturbance or dysfunction. For example, a woman who has a 33-day cycle one month, a 31-day cycle the next, and a 35-day cycle after that, is probably having “normal” periods.

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The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2]. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Issues with ejaculation Similarly, an inability to ejaculate is a sign that it might be time to visit a doctor. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. It is important to tell a doctor if excessive mental and emotional stress develop. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Ideally, the test should be performed at least twice to confirm results. In addition, antibodies are present in 35% of patients with CBAVD. United Kingdom[edit] In the UK, previous NICE guidelines defined infertility as failure to conceive after regular unprotected sexual intercourse for two years in the absence of known reproductive pathology.[11] Updated NICE guidelines do not include a specific definition, but recommend that "A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility, should be offered further clinical assessment and investigation along with her partner, with earlier referral to a specialist if the woman is over 36 years of age."[12] Other definitions[edit] Researchers commonly base demographic studies on infertility prevalence on a five-year period.[13] Practical measurement problems, however, exist for any definition, because it is difficult to measure continuous exposure to the risk of pregnancy over a period of years.


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See also
Infertility Testimonies
Signs and Symptoms of Y Chromosome Infertility
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