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Radiation treatment and/or chemotherapy for cancer. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Primary sterility means that a pregnancy has never occurred.

Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981.

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ART techniques generally start with stimulating the ovaries to increase egg production. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Estrogen excess may be seen in patients with Sertoli cell tumors, Leydig tumors, liver failure, or severe obesity.

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Dr Freundl from the University of Heidelberg suggests that tests which use LH as a reference often lack sensitivity and specificity.[13] Classification[edit] The World Health Organization criteria for classification of anovulation include the determination of oligomenorrhea (menstrual cycle >35 days) or amenorrea (menstrual cycle > 6 months) in combination with concentration of prolactin, follicle stimulating hormone (FSH) and estradiol (E2). Low weight: Obesity is not the only way in which weight can impact fertility.

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Unfortunately, there are some forms of male infertility that are not treatable. Use of clomiphene citrate in infertile women: a committee opinion. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. It will take time until these studies can be available for clinics and patients as a regularity. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. This pill generally is taken from menstrual cycle days 3 – 7. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Counseling Fertility clinics should address the psycho-social and emotional needs of infertile couples as well as their medical needs.