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PPT Presentation Summary : Infertility is “a disease of the ... birth 75% will have cryptochidism that results in testes is fully descended then fertility is ... A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind.

Metabolic causes of infertility, other than in severely ill individuals, are rare. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. 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. Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. Infertility is due to hypogonadotropic hypogonadism. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. The resulting sperm count (also called spermiogram) allows identifying various pathologies. Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually.

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The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. Blocked ovaries can start functioning again without a clear medical explanation. This prevents the sperm from fertilizing the egg.

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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Estrogen causes negative feedback on the pituitary gland, inhibiting LH and FSH release. Release of GnRH is stimulated by melatonin from the pineal gland and inhibited by testosterone, inhibin, corticotropin-releasing hormone, opiates, illness, and stress. Obesity Research from 2015 noted that many studies link obesity in men with infertility. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Psychic causes are possible in women just like they are in men. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts. Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Homologous insemination refers to the use of sperm from the patient's partner. Laboratory testing – Depending on the results of the evaluation discussed above, your physician may request specific blood tests. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003.