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In such cases, OPKs and those fertility monitors which are based on LH may show false results, with an increased number of false positives or false negatives. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods.

For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. This technique involves an injection of a single healthy sperm directly injected into mature egg. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Mental stress: Stress can be a factor, especially if it leads to reduced sexual activity.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview.

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Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients.

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Sperm are then collected, washed, and added to the eggs in the dish. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. However, if you haven’t had your period in months, it might be a good idea to seek medical advice.  Heavy and/or painful periods: Periods that hamper your daily activity may be a symptom of fibroids in the uterus or endometriosis. Testing for Men In the case of men, a general physical examination will be performed, with discussions concerning medical history, illnesses, disabilities, medications and sexual habits. This should be followed by documentation of ovulation via serum progesterone. Where Dreams are Born. (PDF, 2 MB) Jewish Light, 2010. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Radiation treatment and/or chemotherapy for cancer.