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Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. 0 Definition of Sterility and Infertility With regard to terminology, infertility has to be distinguished from sterility. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. The patient should be abstinent for 2-3 days prior to maximize sperm number and quality.

It will take time until these studies can be available for clinics and patients as a regularity. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Many men with low sperm counts or abnormal semen are still fertile.

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However, if the woman has previously been pregnant, regardless of the outcome (which may have been a premature or full-term delivery, spontaneous abortion, induced abortion or ectopic pregnancy), and is now unable to conceive, it is considered secondary infertility. Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization.

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Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. Uterine fibroid embolization (UFE) consists of catheterization of the uterine artery and the injection of microbeads of polyvinyl alcohol to selectively occlude the circulation of the fibroid. The resulting sperm count (also called spermiogram) allows identifying various pathologies. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Causes include: Surgery: Pelvic surgery can sometimes cause scarring or damage to the fallopian tubes.

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Further investigations Investigation of suspected tubal and uterine abnormalities: 1. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases.