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The results of these tests help determine the best fertility treatment. Hysterosalpingogram (HSG) – This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity (Asherman syndrome). A majority of the results are in the normal range here which is why it is also called idiopathic sterility. 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). In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract.

Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Chemotherapy Chemotherapy is toxic to actively dividing cells. If you’re concerned, it’s important to consult with your doctor. Empirical treatment with controlled ovarian hyperstimulation followed by intrauterine insemination has improved the pregnancy rate in those patients. [214] If pregnancy does not occur during the first 4 intrauterine insemination cycles, other alternatives include IVF or any of the associated assisted reproductive technologies procedures.Background Infertility is a common clinical problem. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months.

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Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.

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There are a wide array of treatments available, each targeting a different cause of infertility, and they include the following: Fertility drugs: These drugs work by stimulating the hormones responsible for the maturing and release of the egg and could help those with ovarian disorders. Sterility is classified into two groups, primary and secondary.

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Group II: hypothalamic-pituitary-ovarian dysfunction (predominately polycystic ovary syndrome). The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. 2 or more - sperm concentration: 15 million spermatozoa per ml or more - total sperm number: 39 million spermatozoa per ejaculate or more - total motility: 40% or more motile or 32% or more with progressive motility - vitality: 58% or more live spermatozoa - sperm morphology (percentage of normal forms): 4% or more Basic Work-up for Infertility 13. Evidence of ovulation: 1. The more fetuses there are, the higher the risk of premature labor. If a blockage is present, surgery may be necessary. If the epididymis is blocked, sperm may not be ejaculated properly. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis? Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus.