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Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. 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. In this regard, keyhole surgery can be a disadvantage.[23] Risks[edit] Some of the risks are briefly described below: The most significant risks are from trocar injuries during insertion into the abdominal cavity, as the trocar is typically inserted blindly. This reduction division (ie, meiosis) results in a haploid chromosome number.

However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus.

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Sperm are then collected, washed, and added to the eggs in the dish. Key to the diagnosis of male infertility is a semen analysis, which assesses primarily sperm numbers, sperm movement and sperm form. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. Linthicum, Md.: American Urological Association, Inc.; 2010.

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For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Nonliquefication of the semen can be differentiated from benign hyperviscosity by a normal postcoital test finding. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Possible causes include the egg not being released at the right time, the egg’s inability to reach the fallopian tube, or the sperm’s inability to reach the egg.

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Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. The virus may either directly damage the seminiferous tubules or indirectly cause ischemic damage as the intense swelling leads to compression against the tough tunica albuginea. Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. Many cases are treated with medication or may require surgical procedures. In these methods, fertilization occurs inside the body. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. In vitro fertilization[edit] IVF is the most commonly used ART. The laboratory evaluation begins with a semen analysis. Fertility: assessment and treatment for people with fertility problems.