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Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility.

Methodology This paper, as a comprehensive review, deploys a new strategy to translate the research findings and evidence-base recommendations into a simplified focused guide to be applied on routine daily practice. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995. The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb. 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. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy.

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ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues. Causes of Sterility in Women In women, the classification of possible causes is much more complex. An ultrasound scan can detect an ectopic pregnancy.

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Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. In many cases, cornual obstruction diagnosed on HSG represents simple cornual spasm.

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Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility. In the majority of cases, there are no obvious symptoms that you may be infertile. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. A sperm count of under 15 million is considered low. As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. If the RSAT is negative, the bitch is presumed to be Brucella-free; if positive, further confirmatory laboratory testing is indicated (eg, AGID, PCR, 2-mercapto-ethanol RSAT). Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. A low testosterone level with a low FSH level signals a secondary cause. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. Females[edit] The following causes of infertility may only be found in females. High environmental temperature and excessive conditioning resulting in increased body temperature can induce either temporary or permanent azoospermia.