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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. Ejaculation disorders Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate).

This prevents the sperm from fertilizing the egg. This abnormality is usually surgically corrected in infancy. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3).

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Most people will have the strong desire to conceive a child at some point during their lifetime. This can be done by a urine test, basal body temperature chart, progesterone test and/or endometrial biopsy. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

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These specimens benefit most from layering a washed pellet of sperm with nutrient media and allowing the motile fraction to swim up into the media before being separated. [109] After sperm preparation, the spermatozoa are enhanced in motility and become activated and ready to fertilize an oocyte. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Malformation of the eggs themselves may complicate conception.

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Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P.