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Although 60% of patients have evidence of antisperm antibodies after vasectomy, the clinical significance has not been completely elucidated. The patient's electrolyte levels must be checked to consider the need for diuretics. Hofherr SE, Wiktor AE, Kipp BR, Dawson DB, Van Dyke DL. ARTICLES FROM THE 2010s Ovarian Function 6 Years after Cryopreservation and Transplantation of Whole Sheep Ovaries. (PDF, 496 KB)Reproductive BioMedicine Online, 2010. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity.

The volume summarizes the results gained from the study of more than 10,000 infertile couples, who were investigated as part of the WHO's programme to counter the widespread personal distress caused by infertility. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. The new generations of available gonadotropins are produced by genetically engineered mammalian cells (ie, Chinese hamster ovary cells), in which the gene coding for the alpha and beta FSH subunits has been inserted (follitropin alfa [eg, Gonal F] and follitropin beta [eg, Follistim AQ]). [185] Recombinant LH may beaddedtorecombinantFSHprotocolsasanalternative,particularlyuseful in patients with hypothalamic amenorrhea. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998.

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Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. On the other hand, excess weight can also create ovarian dysfunctions.

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What’s on the Mind of IVF Consumers? (PDF, 627 KB) Reproductive BioMedicine Online, 2009. The prostate also secretes zinc, phospholipids, phosphatase, and spermine. Semen that is not initially a coagulum is often an indication of an ejaculatory duct obstruction or the absence of seminal vesicles.

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Learn what factors can influence your fertility and whether to consider seeking medical help. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Medications in use for this effect are mainly clomifene citrate and tamoxifen (both being selective estrogen-receptor modulators), as well as letrozole (an aromatase inhibitor.[17] Follicle-stimulating hormone (FSH), directly stimulating the ovaries. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. Although varicoceles are present in 15% of the male population, a varicocele is considered the most common correctable cause of infertility (30-35%) and the most common cause of secondary (acquired) infertility (75-85%). 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. Erectile dysfunction, vaginismus (painful involuntary spasm of vagina preventing intercourse) and dyspareunia (pain during sexual intercourse) can explain involuntary childlessness in some couples. If a woman has an ovulation disorder, she may ovulate infrequently or not all. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978.