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In such circumstances, it is recommended not to prescribe any medication until all basic investigations are done and its results received. Secondary infertility is used to refer to those cases in which miscarriages occur after having had one successful pregnancy.Infertility has traditionally been thought of as a woman's problem.

Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment.

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Tests and trials are available, but testing does not always reveal a specific cause. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. The vas is divided into the convoluted, scrotal, inguinal, retroperitoneal, and ampullary regions and receives its blood supply from the inferior vesical artery. It stimulates the ovaries to mature egg follicles.

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Causes[edit] Hormonal imbalance[edit] This is the most common cause of anovulation and is thought to account for about 70% of all cases. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Patients should undergo an MRI or CT scan of the sella turcica for diagnostic purposes to determine whether a microprolactinoma or a macroprolactinoma is present. In general, patients only notice that there is a problem once they have started trying to conceive.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Female and male factors are equally responsible for infertility, about 30% to 40% each, and in 20% of the cases, there is a combination of both. However, a complete blockage of the ovaries is rarely a cause of infertility. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. This technique involves an injection of a single healthy sperm directly injected into mature egg. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. Malformation of the eggs themselves may complicate conception. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. A systematic review of tests predicting ovarian reserve and IVF outcome.