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Prolonged diestrus can result from luteal cysts in the ovary. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Many cases are treated with medication or may require surgical procedures. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010.

Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Immunohistochemical stains are performed if more than 5-10 round cells/HPF are present.  Other tests Semen may be analyzed for levels of zinc, citric acid, acid phosphatase, and alpha-glucosidase. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. This is taken from the vaginal vault as well as from the cervical canal.

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Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

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Trauma, previous attempts at sperm aspiration, and inguinal surgery may also result in ductal blockage. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement.

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Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. Men should undergo evaluation with a semen analysis. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Prolonged diestrus can result from luteal cysts in the ovary. Patients with severe ovarian hyperstimulation syndrome are often hospitalized and confined to bed, with strict control of fluid intake and output. It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved. If you and your partner agree, extra embryos can be frozen and saved to use later. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles.