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Between 45 and 50 percent of cases are thought to stem from factors that affect the man. An estimated 28% of all couples seeking reproductive assistance may have normal findings on their clinical evaluation, making the unexplained infertility a more common provisional diagnosis. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Normal seminal fructose concentration is 120-450 mg/dL, with lower levels suggesting ejaculatory duct obstruction or absence of the seminal vesicles.

PID can damage and scar the fallopian tubes, making it virtually impossible for an egg to travel down into the womb. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995.

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Treatment of Female Infertility: Assisted Reproductive Technology (ART) Assisted Reproductive Technology (ART) is a term used to collectively describe a number of noncoital methods of conception that treat causes of infertility not responsive to conventional methods. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Supplementation with acetyl L carnitine and antioxidants such as Vitamins C or E are encouraged to enhance sperm maturation and function.

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Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. Unfortunately, tubal cauterization destroys a large amount of tissue, so the amount of fallopian tube remaining is often not long enough to facilitate a successful reanastomosis. A paper published in JAVMA (Journal of the American Veterinary Medical Association) in 2005 showed that dogs spayed laparoscopically experienced significantly less pain (65%) than those that were spayed with traditional "open" methods.[8] Arthroscopy, thoracoscopy, cystoscopy are all performed in veterinary medicine today. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Polycystic ovarian syndrome is the most frequent indication for ovulation induction. Prolactin inhibits the production of GnRH from the hypothalamus and LH and FSH from the pituitary. If the epididymis is blocked, sperm may not be ejaculated properly. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Medicines and drugs Certain types of medicines can sometimes cause infertility problems. Further investigations Investigation of suspected tubal and uterine abnormalities: 1. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. The benefit – a physically relaxed intervention team can work concentrated on the main goals during the intervention. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Therefore, this problem must be corrected first or concomitantly to obtain an ovulatory response. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. Everyone was so helpful and here for all our questions, worries, etc. Make an appointment with your doctor and go over your concerns. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach. STUDIES DEMOGRAPHIC DATA EVALUATION TOPIC: FERTILITY MEASURES LECTURER: MISS ADETORO GBEMISOLA W.