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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Infertility: Female and Male Factors It is very important to note that infertility can occur as a result of one or more male or female factors. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Source : How To Use California’s Department Of Managed Health Care ... Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW.

Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology.

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Furthermore, an immunological cause in the cervical mucus is possible. This is where no cause can be identified in either the woman or man.

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Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. Up to 2 percent of men are thought to have suboptimal sperm.

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Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Often, in vitro fertilization (IVF) can reveal abnormalities in egg quality, sperm function, or embryo development that would not have been determined from standard testing. After one year of having unprotected sex, about 15 percent of couples are unable to get pregnant. Only an additional 7% of couples will conceive in the second year. Ovulation disorders can be treated with ovulation-inducing drugs. After their release from the Sertoli cells into the lumen of the seminiferous tubules, the spermatids successively pass through the tubuli recti, rete testis, ductuli efferentes, and, finally, the epididymis (see image below). A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. If the egg does not travel, it can be harder to conceive naturally. The hypothalamus acts on the false information that the estrogen level in circulation is low, increasing production of FSH and LH, thus stimulating follicular growth. As a woman gets older, the number of her eggs decreases rapidly. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Not being able to ovulate because of hormonal imbalance.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400.