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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. If a woman has an ovulation disorder, she may ovulate infrequently or not all.

ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992.

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Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions. This may be because the ovaries do not contain eggs. In addition, fertility treatments can be associated with health problems for women and resulting children (2), especially those related to the increased risk for multiple gestation. The typical indication is the oligoasthenoteratozoospermia here. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI).

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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. Symptoms depend on what is causing the infertility. Prior to Mühe, the only specialty performing laparoscopy on a widespread basis was gynecology, mostly for relatively short, simple procedures such as a diagnostic laparoscopy or tubal ligation.

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Injuries to the bowel can cause a delayed peritonitis. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. XX male (sex reversal syndrome) An XX karyotype is due to a crossover of the sex-determining region (SRY) of the Y chromosome (with the testis determining factor) to either the X chromosome or an autosome. It is important to tell a doctor if excessive mental and emotional stress develop. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. The uterine cavity is distended with a gas or liquid, and the hysteroscope is introduced into the uterine cavity which can then be carefully inspected. Defects in cilia Immotile cilia syndrome may occur as an isolated disorder or as part of Kartagener syndrome with situs inversus.