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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Genital duct obstruction is a potentially curable cause of infertility and is observed in 7% of infertile patients. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997.

Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994.

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This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. These factors may interfere with embryo implantation and a woman’s ability to carry pregnancy to term. Unhealthy living and poor eating habits, as well as exposure to toxic substances such as alcohol, tobacco and other contaminants, also have a negative impact on fertility. Transvaginal ultrasound – Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries.

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The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary). After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. If you’re concerned, it’s important to consult with your doctor. The Human Fertilization and Embryology Authority, HFEA website.Summary Infertility means not being able to become pregnant after a year of trying. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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Cervical surgery can sometimes cause scarring or shortening of the cervix. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. 0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer.