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Using these criteria, he reported a clinically significant threshold of 14% normal forms as an excellent predictor of IVF success. This situation can be related to the presence of other endocrine disorders such as hyperprolactinemia, congenital adrenal hyperplasia, adrenal tumors, Cushing syndrome, thyroid dysfunction, and extreme obesity. Although the sperm count may be slightly decreased by an intercourse frequency of once per day or once every other day, the motility and number of sperm in the healthy male would be sufficient to achieve pregnancy. Although CASA produces good qualitative data, it is a labor-intensive procedure with a high initial cost and is plagued with inaccuracies when sperm concentrations are very high or very low. Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands.

Treatment of tubal obstruction generally requires referral for subspecialty care. Women are advised not to use the drug for more than one day. Most of infertile couples are aware of what can be offered to them from the media.

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Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. In some cases this can also cause considerable pain when breathing. Cervical stenosis (a narrowed cervix) or the lack of cervical mucus often make it harder for sperm to travel through the cervix into the uterus. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989.

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We recommend immediate evaluation for a couple attempting pregnancy when the woman has a prior history of pelvic infection. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. The other cases are caused by a mixture of male and female problems or by unknown problems.

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Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. The virus may either directly damage the seminiferous tubules or indirectly cause ischemic damage as the intense swelling leads to compression against the tough tunica albuginea. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. The patient's electrolyte levels must be checked to consider the need for diuretics. Intra-uterine insemination for male subfertility. Intercourse 2 or 3 times per week may be considered average, although the frequency varies. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. A sperm count of under 15 million is considered low.