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A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Congenital disorders and chryptorchidism (undescended testicles).

Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.

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8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m.

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Perspectives on infertility consultations in primary care: a qualitative study. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids.

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This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). We use an AI-based algorithm to make the most accurate predictions of your health patterns. The couple should have sex at least every two days between the 10th and 18th day after the woman starts her period. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. The fertilized embryo is then transferred to womb.