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Infertility in women was ranked the 5th highest serious global disability5&6 (among populations under the age of 60). Sperm are then collected, washed, and added to the eggs in the dish. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. The acrosome, a derivative of the Golgi process, surrounds the nucleus anteriorly and contains enzymes necessary to penetrate the ovum.

Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity.

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Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult.

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Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile. IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval.

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It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome, a rare syndrome where a man is born with an extra female chromosome. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. Hypospadias affects about 1 in every 500 newborn boys. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Find out more about fertility tests and how problems are diagnosed.Gonadal and sexual functions are mediated by the hypothalamic-pituitary-gonadal axis, a closed-loop system with feedback control from the testicles. Some facts about conception and fertility A doctor can give advice and carry out some preliminary assessments. But if you haven’t had a period in months, it’s time to get your fertility checked. However, these tests have only poor to moderate predictive value despite widespread use. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. As a result, infertility has come to be defined as the inability to conceive within 12 months. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992.