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In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen.

However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs. 8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. On the other hand, excess weight can also create ovarian dysfunctions. These receptor dysfunctions may be explained by defects in specific chromosomal areas.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. Premature Ejaculation: Is defined as an inability to control the ejaculatory response for at least thirty seconds following penetration.  Premature ejaculation becomes a fertility problem when ejaculation occurs before a man is able to fully insert his penis into his partner�s vagina.  Premature ejaculation can be overcome by artificial insemination or by using a behavioral modification technique called the �squeeze technique� which desensitizes the penis. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH).

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Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Anovulation is when the ovaries do not release an oocyte during a menstrual cycle. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Patients generally have long arms and legs due to a delayed closure of the epiphyseal plates, delayed puberty, and atrophic testis. 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. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease.

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NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. Endometriosis is usually more common in women in their mid-twenties and older, especially when postponed childbirth has taken place.[55] Another major cause of infertility in women may be the inability to ovulate. During this time, the cells cross from the basal to the adluminal compartments.