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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. However, for certain very poor specimens with low original concentrations of motile sperm, the use of the gradient system results in such a negligible recovery as to render it useless. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001.

ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. And as aging occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.

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PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. A typical disease is polycystic ovarian syndrome. Malformation of the eggs themselves may complicate conception. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed.

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Specialized semen analysis, including genetic testing of the sperm (looking for the presence of antibodies) and evaluation of immobile sperm (to see if they are dead or alive). While BBT is an inexpensive way to monitor ovulation, it is often impractical. It is more successful in women who have previously been pregnant. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Limits were placed on language and human race as well.

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8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. It is important to undergo a thorough fertility evaluation to determine the problem. About 10% of reproductive age women are affected by endometriosis. Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Consequently, amenorrhea, an anovulatory cycle, and corpus luteum deficiency can develop. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids.