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Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering. It stimulates the ovaries to mature egg follicles.

Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981.

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Prolactin stimulates milk production during breastfeeding. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat. For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. 40 Patients using these agents should be counseled about these risks.

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If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010. This can be made laparoscopically as well as sonographically. This may take the form of miscarriages or extrauterine pregnancies.

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Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Physical damage to the ovaries, or ovaries with multiple cysts, may affect their ability to function. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity.