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Having an irregular cycle, including missing periods, can contribute to infertility, as it means a woman may not be regularly ovulating. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.

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. Females[edit] The following causes of infertility may only be found in females.

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3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm.

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However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. An abnormal semen analysis warrants a further evaluation usually by a reproductive urologist. The male partner can be evaluated for infertility or subfertility using a variety of clinical interventions, and also from a laboratory evaluation of semen.” (Semen manual, 5th Edition3). Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003.

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Epidemiology of infertility For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. In some cases this can also cause considerable pain when breathing. Primary Lymphoma of Kidney. (PDF, 586 KB) The Journal of Urology, 1973. Possible causes include the egg not being released at the right time, the egg’s inability to reach the fallopian tube, or the sperm’s inability to reach the egg. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. In cases when the quality of sperm is very poor, or sperm is completely absent in the ejaculate (azoospermia), donor’s sperm can be used (if culturally acceptable). Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. Central Ave Suite 2C Chicago, IL 60630 Phone: (773) 794-1818 Fax: (773) 794-1819 GURNEE 30 Tower Court Suite F Gurnee, IL 60031 Phone: (847) 662-1818 Fax: (847) 662-3001 CRYSTAL LAKE 820 E.