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Chemotherapy Chemotherapy is toxic to actively dividing cells. Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. In-vitro fertilization and donor insemination are major procedures involved.

Definition “A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility” NICE guideline, CG156 Primary infertility; couple have failed to conceive before. Secondary infertility; woman has previously been pregnant regardless of the outcome of the pregnancy and now unable to conceive. Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year.

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When anatomic variance or obstruction is suspected, referral for surgical evaluation and treatment is appropriate. Lack of pregnancy Lack of pregnancy can be related to disruption of the cervical mucus, inadequate follicular development, presence of luteinized unruptured follicle syndrome, progesterone deficiency, and premature administration of hCG to trigger ovulation. This measurement is called the antral follicle count and may correlate with fertility potential. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult.

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This is followed by transvaginal oocyte retrieval, co-incubation and then embryo transfer of a safe number of follicles, which in international guidelines is no more than two.[19] Other treatments[edit] Bromocriptine acts in a completely different manner to the other treatments mentioned above. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. In fact, female age-related infertility is the most common cause of infertility today.

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8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. There are several requirements for male fertility. The percentage of body fat should be greater than 22% to permit regular ovulatory cycles. Sperm are then collected, washed, and added to the eggs in the dish. Clinical diagnostic testing for the cytogenetic and molecular causes of male infertility: the Mayo Clinic experience.