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Practice Committee of American Society for Reproductive Medicine. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8).

Infertility in Men Below you will find a list of some of the most common causes of infertility in men. 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).

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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Your doctor may suggest that you take gonadotropin if you have unexplained infertility or when other kinds of treatment haven't helped you get pregnant. Theoretically, with this therapy, we can get artificial gamets in vitro. This may be because the ovaries do not contain eggs.

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Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Cervical insemination has almost been abandoned because of its low success and has been relegated only to cases in which the sperm count is normal, such as in artificial insemination using donor sperm or if the sample has elevated white cells. Trauma Testicular trauma is the second most common acquired cause of infertility. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003.

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In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Symptoms can also depend on what is causing the infertility. The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb. This may be because the ovaries do not contain eggs. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Reduced secretion of cervical mucus due to destruction of the endocervical glands by previous cervical conization, freezing, or laser vaporization responds poorly to low-dose estrogen therapy. Infertility: Summary Infertility is a significant social and medical problem affecting couples worldwide. A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.