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CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. Hysteroscopy is the inspection of the uterine cavity through the cervix by a hysteroscope attached to a camera which projects to a screen. Estimating the prevalence of infertility in Canada [published correction appears in Hum Reprod.

Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Small or firm testicles that feel "tight" may be another sign of hormone issues. Some women experience a few days of light flow, while others regularly experience heavy periods and painful cramps.

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Sertoli-cell-only syndrome (germinal cell aplasia) Patients with germinal cell aplasia have LH and testosterone levels within the reference range but have an increased FSH level. Semen quality Semen is initially a coagulum that liquefies in 5-25 minutes due to prostatic enzymes. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Anovulation can also cause cessation of periods (secondary amenorrhea) or excessive bleeding (dysfunctional uterine bleeding). However, these tests have only poor to moderate predictive value despite widespread use.

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Before treating cornual obstruction, the diagnosis should be confirmed. When the big veins heat the testes too much, the heat damages the sperm. For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive. Infertility tests for men The doctor will ask the man about his medical history, medications, and sexual habits and carry out a physical examination. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus. They can include: Changes in hair growth Changes in sexual desire Pain, lump, or swelling in the testicles Problems with erections and ejaculation Small, firm testicles   When to See the Doctor If you are under 35 and have been trying to get pregnant without success for a year, see your doctor. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Treatment of tubal obstruction generally requires referral for subspecialty care. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. These sperm show a high level of retained cytoplasmic droplets around the mid piece. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996.