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Females[edit] The following causes of infertility may only be found in females. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Treatment of the cause: Male Factor: (Liaise with the andrologist) 1. A defect in any of these sperm structures may result in infertility that will not be detected by semen analysis.[60] Antisperm antibodies cause immune infertility.[23][24] Cystic fibrosis can lead to infertility in men. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

A bicornuate uterus can be associated with a history of recurrent miscarriages, and its repair is indicated only if other etiologies for the miscarriage have been excluded (see Surgical intervention below). Causes of Sterility in Men Image: “Colorized sperm sample under the light microscope” by Bobjgalindo. Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility. In humans, infertility is the inability to become pregnant after one year of intercourse without contraception involving a male and female partner.[2] There are many causes of infertility, including some that medical intervention can treat.[3] Estimates from 1997 suggest that worldwide about five percent of all heterosexual couples have an unresolved problem with infertility.

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Methodology This paper, as a comprehensive review, deploys a new strategy to translate the research findings and evidence-base recommendations into a simplified focused guide to be applied on routine daily practice. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis.

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No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Genetic tests can identify specific obstacles to fertility and problems with sperm.

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The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. PPT Presentation Summary : Evaluation of Fertility: A Cornerstone to Improved Reproductive Health for Women Overview. It is important to tell a doctor if excessive mental and emotional stress develop. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Coital frequency is positively correlated with pregnancy rates. 7 million women reported impaired ability to get pregnant or carry a baby to term. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Being obese or overweight: This can increase the risk of infertility in women as well as men.