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Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low.

16. Investigation of suspected tubal and uterine abnormalities: 1. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. These abnormalities can also cause irregular bleeding between menstrual cycles. Typical characteristics are ascites and cyst formation of the ovaries.

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50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. Next, the spermatids undergo the process of spermiogenesis (through stages named Sb1, Sb2, Sc, Sd1, and Sd2), which involves the casting of excess cytoplasm away as a residual body, the formation of the acrosome and flagella, and the migration of cytoplasmic organelles to their final cellular location. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. In some patients, secondary sex characteristics develop normally, but they are usually completed late.

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The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems.

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An ultrasound scan can detect an ectopic pregnancy. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. This seems to result in a significant improvement in fertility, although some studies disagree. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Excess cortisol may be produced by adrenal hyperplasia, adenomas, carcinoma, or lung tumors. A mouse study has suggested that ingredients in some household detergents may reduce fertility. A decreased testosterone level with an increased FSH level points to primary hypogonadism.