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Causes of Female Infertility (Continued) Other causes of female infertility include: Local factors in the uterus and cervix, including uterine septum, uterine fibroids and endometriosis. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism). Adequate nutritional and health status to maintain nutrition and oxygenation of placenta and fetus.

A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Semen analysis – The semen analysis is the main test to evaluate the male partner.

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Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus.

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The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Some women are infertile because their ovaries do not mature and release eggs. Couples will have to consider the ethical and emotional aspects of this procedure. A doctor may diagnose infertility if a woman has not become pregnant after 1 year of trying. The laboratory evaluation begins with a semen analysis. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists. Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Laurence-Moon-Biedl syndrome Patients with this syndrome have retinitis pigmentosa and polydactyly. The findings of the biopsy help determine whether the endometrium is adequately developed to support implantation and growth of a fertilized egg.