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Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. Requirements for Female Fertility One of the requirements for female fertility is a functioning reproductive anatomy and physiology. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years.

Ovulation should be documented by serum progesterone level measurement at cycle day 21. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor.

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Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Gonadotropin-releasing hormone (Gn-RH) analogs: These can help women who ovulate too early—before the lead follicle is mature—during hmG treatment. Pro-life opposition to the destruction of embryos not transferred in vivo. Online support from organizations such as Resolve can be helpful. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present.

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Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Antibodies can abnormally attack a man's own sperm on their way to the egg.

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The fertilized egg moves down the fallopian tube towards the uterus. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977.