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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments.

Erectile Disfunction (ED): Also known as impotence, this condition is common and affects 20 million American men.  ED is the result of a single, or more commonly a combination of multiple factors.  In the past, ED was thought to be the result of psychological problems, but new research indicates that 90 percent of cases are organic in nature.  However, most men who suffer from ED have a secondary psychological problem that can worsen the situation like performance anxiety, guilt, and low self-esteem.  Many of the common causes of impotence include:  diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and the side effects of frequently prescribed medications (i.e. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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The laboratory evaluation begins with a semen analysis. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010.

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Fallopian tube factor: in vivo fertilisation takes place inside the fallopian tubes. Other causes may include: Genetic factors: A man should have an X and Y chromosome. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.

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Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. However, there are various scenarios where one may be advised to seek help earlier. One-third of couples will discover fertility problems in only the woman. A majority of the results are in the normal range here which is why it is also called idiopathic sterility. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 7 MB) Nature Genetics, 1995. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. A low testosterone level with a low FSH level signals a secondary cause. This may be because the ovaries do not contain eggs.


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