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In the testicle, germ cells (especially up to the preleptotene stage) are especially at risk. But anything within a few days of that can be considered normal, as long as those cycles are consistent. Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995.

In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Low weight: Obesity is not the only way in which weight can impact fertility. These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions.

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Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. Ovulation should be documented by serum progesterone level measurement at cycle day 21. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974.

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CI or intrauterine insemination is the treatment of choice if more than 2 million sperm are recovered after the sperm wash. (See Treatment of Cervical Factors). [106, 109] Patients whose reproductive tract, FSH, LH, and testosterone levels are determined to be normal or those who have low testosterone in the absence of any other hormonal abnormalities can be treated empirically with cycles of CC (25 mg PO qd for at least 6-12 mo). Female and male factors are equally responsible for infertility. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems.

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Pelvic inflammatory disease Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, which includes the womb, fallopian tubes and ovaries. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. Unexplained infertility In the UK, unexplained infertility accounts for around 25% of cases of infertility. The application of artificial insemination usually is made after previous medicamentous treatment. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop.