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Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. Up to 25% of infertile men have idiopathic infertility. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992.

Come and meet us to find out more about how we can help you. London, United Kingdom: National Institute for Health and Clinical Excellence (NICE); February 2013:1–63. (Clinical guideline no. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. Gonadotropin-releasing hormone (GnRH) from the hypothalamus stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

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Infertility caused by DNA defects on the Y chromosome is passed on from father to son. The diagnostic charts, which may be photocopied, provide an unambiguous route to diagnosis of the underlying cause of infertility, whilst the text fully explains and describes the essential clinical tests. Options for Male Infertility Treatment Some causes of male infertility are treatable or correctable through surgery. However, if none of these options are available, or if they are unsuccessful, your doctor may talk to you about using a sperm donor, or consider adoption, to help build your family.Oath und seine Partner benötigen Ihre Einwilligung, um auf Ihr Gerät zuzugreifen und Ihre Daten (einschließlich Standort) zu nutzen, um mehr über Ihre Interessen zu erfahren, personalisierte Anzeigen bereitzustellen und deren Effektivität zu messen. Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980.

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Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible. As sperm move from the head to the tail, they mature and acquire fertilization capacity.

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Causes of infertility and sterility in men The male factor is difficult to evaluate because sperm analyses do not always indicate if there is a problem or not. Blocked ovaries can start functioning again without a clear medical explanation. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation. Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation. A mouse study has suggested that ingredients in some household detergents may reduce fertility.