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Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. 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. If conception does not occur after many months or years of trying, it can lead to stress and possibly depression. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it.

Lack of estrogen brings about decreased spinnbarkeit of the cervical mucus. It’s common for couples to experience issues with infertility. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Even if you are diagnosed with infertility, you may still be able to conceive.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. In the United States, around 10 percent of women aged 15 to 44 years are estimated to have difficulty conceiving or staying pregnant. Tubal and peritoneal factor infertility treatment requires a good surgeon who is skilled in currently available techniques. [128] The patient's age and the severity of the tubal pathology play important roles in the selection of patients, as do any other infertility issues such as the presence of endometriosis and severe pelvic adhesions.

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Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure.

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Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. A postoperative HSG should be performed 2 months later. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. El Uso de las Espermátides en la Azoospermia. (PDF, 12 MB) Chapter 42 from Reproducción Humana, 2002. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. An ovarian insufficiency can also occur from the decreased release of gonadotropins.