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Operative laparoscopy: This technique is indicated for pedunculated and superficial intramural myomas. It will take time until these studies can be available for clinics and patients as a regularity. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Semen analysis – The semen analysis is the main test to evaluate the male partner. 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.

Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Contents Signs and symptoms[edit] Anovulation is usually associated with specific symptoms.

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Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. The resulting sperm count (also called spermiogram) allows identifying various pathologies. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects.

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Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006.

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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. 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. 6) Male factors affecting sperm function: Male factor infertility has been associated as a contributing factor causing infertility in 40-50% percent of cases, and as the sole cause for infertility in 15-20% percent of cases. This can happen as a result of: an infection of your testicles testicular cancer  testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children.  It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. For women over age 35, that timeline is reduced to six months. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant.