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Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Treatment of Female Infertility: Induction of Ovulation Ovulation induction involves the use of medication to stimulate development of one or more mature follicles in the ovaries of women who have anovulation and thus are infertile.

Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. Today, many patients do not receive the recommended medical care that based on the best available evidence [5]. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Ovarian hyperstimulation syndrome is self-limited, and the symptoms subside within 2-6 weeks. [198] Patients with mild and moderate ovarian hyperstimulation syndrome are treated at home with bedrest and strict control of fluid intake and output. This standardized approach to the management of infertility will lead to more efficient, systematic and economic care for the infertile couple. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994.

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The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Generally, their response to hMG ovulation induction is too brisk or delayed, and predicting whether the patient will respond easily is not possible. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. Infrequent and light menstruation occurs in about 40% of women with ovulatory dysfunction. Low testosterone (male hypogonadism) and other hormonal problems have a number of possible underlying causes. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974.

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Symptoms depend on what is causing the infertility. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.

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Nowadays, given the huge emotional impact caused by pregnancy loss, in those cases where two pregnancy losses have taken place, an analysis and treatment is advised. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Bladder neck closure during ejaculation is vital to ensure antegrade ejaculation. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. 7 million women reported impaired ability to get pregnant or carry a baby to term. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. If the epididymis is blocked, sperm may not be ejaculated properly. This is caused by hormonal issues like thyroid hypo- or hyperfunction, hyperprolactinemia, or polycystic ovarian syndrome (PCOS) — all of which can lead to infertility.  Absence of periods: Temporary life stress or overexercising may cause you to occasionally skip a period.