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As the major causes of infertility are sperm abnormalities, ovulation dysfunction, and fallopian tube obstruction, the preliminary adviced investigations for the infertile couple should be focused on semen analysis (to be compared with the WHO reference values [27]), detection of ovarian function by hormonal assay (early follicular FSH and LH levels, and mid-luteal progesterone), and evaluation of tubal patency by hysterosalpingography (HSG) [17-32], (Appendix 3). A typical infection is particularly the adnexitis from Chlamydia, but also infections from Trepona pallidum (lues) and Neisseria gonorrhoea should be kept in mind. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995.

Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. A mouse study has suggested that ingredients in some household detergents may reduce fertility. 5°F above the basal level) induced by the early secretion of progesterone. 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.

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Is there a way to increase a couple’s chance of getting pregnant? Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies.

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That is why a complete build-up of the endometrial mucosa is not possible anymore. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. The potentials of these systems enhance the possibilities of the mobile medical care with those lightweight assistance systems. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development.

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The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. 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. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Constant irrigation with Ringer lactate solution and heparin prevents fibrin formation. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Signs of Potential Infertility in Women In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to 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 vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra.