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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year.

Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. Cervical surgery can sometimes cause scarring or shortening of the cervix.

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Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions. For example, high cortisol levels are seen in patients with Cushing syndrome, which causes negative feedback on the pituitary to decrease LH release.

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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. Features include a webbed neck, short stature, low-set ears, ptosis, shield-like chest, lymphedema of hands and feet, cardiovascular abnormalities, and cubitus valgus. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients. 2012;27(8):2396–2404.   Want to use this article elsewhere? The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. There are three main types of sperm antibodies: Immunoglobulin G (IgG) Immunoglobulin A (IgA) Immunoglobulin M(IgM). Thus, an intravenous pyelogram must be performed once this diagnosis is made. The Prevention of Acute Tubular Necrosis in Renal Transplantation by Chronic Salt Loading of the Recipient. (PDF, 627 KB) ANZ Journal of Surgery, 1974. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. Some causes, such as hyperprolactinemia, are reversible with proper treatment.