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The testicular-epididymal component includes sperm and comprises about 5% of the ejaculate volume. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. Factors effecting normal expectancy of conception. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying.

5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur.

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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. This procedure is performed in the doctor’s office without anesthesia. The sperm is washed in a fluid and the best specimens are selected. Cervical factors are also thought to play a minor role, although they are rarely the sole cause. This technique involves an injection of a single healthy sperm directly injected into mature egg.

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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. The emotional toll on both partners can affect their relationship. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.

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However, it could be the future for the treatment of multiple diseases, including infertility. Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. Over the past three decades, huge advancements in fertility science have helped millions of couples to overcome their difficulties and have children of their own. Consequently, the patient with PCOS becomes responsive to CC ovulation induction. Testosterone and multiple hormones made in the brain control sperm production. Frequency of intercourse The couple may be advised to have sexual intercourse more often around the time of ovulation. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974.