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Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. In-vitro fertilization and donor insemination are major procedures involved. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Ad cells (stem cells) divide to create more Ad cells (stem cell renewal) or differentiate into daughter Ap cells every 16 days. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010.

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This abnormality is usually surgically corrected in infancy. There's a link between increased temperature of the scrotum and reduced semen quality, but it's uncertain whether wearing loose-fitting underwear improves fertility.  Testicles The testicles produce and store sperm. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004.

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Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. A review of systems and physical examination of the endocrine and gynecologic systems should be performed. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight.

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They are very common (approximately 40% of women have them them). Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. The chance of a multiple birth is lower with an oral fertility drug. Treatment of the cause: 27. Tubal and uterine factors: 1. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples.