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Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. However, further testing may include: A general physical exam by a urologist. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.

One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Endometriosis may be treated through laparoscopic surgery. The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. This may be because the ovaries do not contain eggs. They can often recommend a counselor and others who can offer appropriate support.

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Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. To prevent further polyp development associated with anovulation, the patient should have withdrawal bleeding at least every 6 weeks. 33 Use of antioxidants such as zinc, vitamin E, or l-carnitine showed increased live birth rates in three small randomized controlled trials in couples undergoing assisted reproductive technology. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility.

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In GIFT, the sperm and eggs are mixed together before a doctor inserts them. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. For example, for a woman who ovulates sporadically, the quality of her partner's ejaculate and the frequency of love-making can worsen or improve her prognosis. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. In 10% of all cases, the cause is unknown: unexplained infertil Do you need help?  We can help you with a no-obligation Causes of infertility and sterility in women Diseases of the ovary and the uterus: Endometriosis is the reason behind many sterility issues. Theoretically, with this therapy, we can get artificial gamets in vitro. Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release.