Published
by the American Society for Reproductive Medicine under
the direction of the Patient Education Committee and
the Publications Committee. Copyright of American Society
for Reproductive Medicine.
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Abdominal
pregnancy. An ectopic (extrauterine pregnancy)
pregnancy that has implanted on structures in the abdomen
other than the uterus, fallopian tubes, or ovaries.
It usually implants on tissue in the abdomen known as
the omentum.
Acquired
immunodeficiency syndrome (AIDS). A condition
caused by the HIV virus that impairs the body's immune
system and leads to severe infections and eventually
death.
Acrosome. An enzyme-filled cap on the sperm head which releases
acrosomal enzymes necessary to penetrate the egg's outer
covering.
Adhesions. Bands of fibrous scar tissue that bind pelvic organs
together.
Adrenal
glands. A pair of endocrine organs located
above the kidneys that produce hormones.
Adrenal
hyperplasia. An abnormal or unusual increase
in the production of androgens by the adrenal glands.
This disorder is the result of a genetic problem.
Amenorrhea. Absence of menstrual cycles.
Amniocentesis. A procedure in which a small amount of amniotic fluid
is removed through a needle from the fetal sac at about
16 weeks into a pregnancy. The fluid is studied for
chromosomal abnormalities which may affect fetal development.
ACTH
(adrenalcorticoid hormone). A protein hormone
produced by the pituitary gland that stimulates the
adrenal gland to produce hormones.
Androgens. The "male" hormones responsible for encouraging masculine
characteristics.
Anticardiolipids. A type of antibody or immunoglobulin that affects the
blood clotting system and may be associated with repeated
miscarriage.
Antisperm
antibodies. Immune or protective proteins (immunoglobulins)
which attack and destroy the sperm because they recognize
it as a foreign substance. Antisperm antibodies may
be present in the male in blood or sperm or in the female
in blood or cervical mucus.
Anovulation. Failure or absence of ovulation.
Appendicitis. A condition where the appendix (a tubular structure
attached to the large colon) becomes infected and inflamed
and can be associated with the formation of adhesions
in the proximity of the fallopian tube.
Assay. A medical term meaning "test."
Assisted
reproductive technologies (ART). All treatments
which include laboratory handling of eggs, sperm, and/or
embryos. Some examples of ART are in vitro fertilization
(IVF), gamete intrafallopian transfer (GIFT), pronuclear
stage tubal transfer (PROST), tubal embryo transfer
(TET), and zygote intrafallopian transfer (ZIFT).
Autoimmune. A condition in which the body's immune system attacks
its own tissues, falsely recognizing them as foreign.
Azoospermia. The complete absence of sperm in the semen.
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Basal
body temperature (BBT). The body temperature
at rest. It is taken orally each morning immediately
upon awakening and recorded on a BBT chart. The readings
are studied to help identify ovulation, usually occurring
near the time of the rise in BBT.
Biopsy. The removal of a small tissue sample for microscopic
examination.
Cerclage. Placement of a non-absorbable suture around an incompetent
(weak) cervical opening in an attempt to keep it closed
and thus prevent miscarriage. Also known as a cervical
stitch.
Cervical
canal. The passageway leading from the vagina
into the uterus.
Cervical
mucus. The substance in the cervix through
which sperm must swim in order to enter the uterus.
Cervix. The narrow, lower part of the uterus that opens into
the vagina. The cervical canal runs through the cervix
and connects the vagina with the uterine cavity. The
cervix produces mucus which sperm must swim through
before entering the uterine cavity and then the fallopian
tubes.
Chlamydia. A sexually transmitted disease that is a common cause
of pelvic infections and subsequent tubal damage.
Chorionic
villus sampling. A procedure in which a small
sample of cells is taken from the placenta early in
a pregnancy for chromosomal testing.
Chromosomes. Rod-shaped structures located in the nucleus of a cell
which contain hereditary (genetic) material. Humans
have 23 pairs of chromosomes (46 total). Two of the
46 are the sex chromosomes, which are the X and Y chromosomes.
Normally, females have two X chromosomes and males have
one X and one Y chromosome.
Clomiphene
citrate. An oral anti-estrogen drug used to
induce ovulation in the female. It is also sometimes
used to increase testosterone levels in the infertile
male, which may, in turn, improve sperm production.
The U.S. trade names are Clomid® and Serophene®.
Congenital. Refers to certain physical traits, diseases, or malformations
existing at birth (birth defects). May either be hereditary
or due to an influence occurring during pregnancy.
Controlled
superovulation. The administration of (ovulation
drugs) that stimulate the ovaries to produce multiple
eggs: also called enhanced follicular recruitment or
controlled ovarian hyperstimulation.
Corneu. The area where the tube joins the uterine cavity.
Corpus
luteum. A mass of yellow tissue formed in the
ovary from a ruptured follicle that has released an
egg. The corpus luteum secretes progesterone, a hormone
that prepares the lining of the uterus (endometrium)
to support a pregnancy.
Cryopreservation. Freezing sperm or embryos to store them for future use.
At present, eggs cannot be cryopreserved because freezing
damages them.
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Danazol. An androgen-like drug used to treat endometriosis.
DES. A synthetic hormone given in part during pregnancy to
prevent miscarriage. Children from treated pregnancies
can have abnormalities of the reproductive system, including
an increased risk of ectopic pregnancy.
Dexamethasone. A synthetic drug often used to treat an overactive adrenal
gland. Decadron is a brand name.
Diagnostic
laparoscopy. The insertion of a long, thin,
lighted telescope-like instrument called a laparoscope
into the abdomen to look for abnormalities of the internal
pelvic organs.
Dilation
and curettage (D&C). An outpatient surgical
procedure during which the cervix is dilated and the
lining of the uterus is scraped out. The tissue is often
used for microscopic examination for the presence of
abnormality or pregnancy tissue.
Distal
tubal blockage. Blockage at the end of the
fallopian tube farthest away (distal) from where it
joins the uterus and near where it meets the ovary.
Donor
egg. The eggs taken from the ovaries of a fertile
woman and donated to an infertile woman to be used in
an assisted reproductive technology procedure using
IVF or GIFT.
Donor
embryo transfer. The transfer of an embryo
derived from the egg of a volunteer donor to an infertile
recipient.
Down
Syndrome. A genetic disorder caused by the
presence of an extra chromosome 21 and characterized
by mental retardation, abnormal facial features, and
medical problems such as heart defects.
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Early
menopause. Also called premature ovarian failure.
Cessation of menstrual periods due to failure of the
ovaries before age 40. The average age of menopause
in the United States is 51.
Ectopic
pregnancy. A pregnancy which occurs outside
the uterus, most commonly in the fallopian tube.
Efferent
ducts. Tubular structures which conduct sperm
from the seminiferous tubules in each testis to the
epididymis.
Egg
aspiration. Part of the in vitro fertilization
(IVF) procedure in which eggs (oocytes) are collected
from the ovaries by a fine needle inserted through the
top of the vagina using ultrasound guidance. Also known
as oocyte retrieval.
Egg
donation. The process of fertilizing eggs from
a donor with the male partner's sperm in a laboratory
dish and transferring the resulting embryos to the female
partner's uterus. The female partner will not be biologically
related to the child but will be the birth mother on
record. The male partner will be biologically related
to the child.
Ejaculatory
duct. A duct formed by the joining of the seminal
vesicles with the vas deferens, through which semen
is propelled at the time of ejaculation.
Electrosurgical
instrument. A surgical instrument using electric
current to burn, cut, and eliminate unwanted tissue.
Embryo. The earliest stage of human development arising after
the union of the sperm and egg (fertilization).
Embryo
transfer. Part of the in vitro fertilization
(IVF) procedure in which the embryo(s) (which were fertilized
in the laboratory) are transferred into the woman's
uterus through her vagina and cervix.
Empirical
therapy. When medications or other treatments
reportedly work for some patients, but are unproven
to work consistently in large research studies. Empirical
therapy is tried without proven effects.
Endometriomas. Blood-filled cysts that can occur when endometrial tissue
develops in the ovary.
Endometrial
biopsy. The extraction of a small piece of
tissue from the endometrium (lining of the uterus) for
microscopic examination. The results indicate whether
or not the endometrium is at the appropriate stage for
successful implantation of a fertilized egg.
Endometriosis. A condition when endometrial tissue, which normally
lines the uterus, develops outside of the uterine cavity
in abnormal locations such as the ovaries, fallopian
tubes, and abdominal cavity. Endometriosis can grow
with hormonal stimulation and cause pain, inflammation,
and scar tissue. It may also be associated with infertility.
Endometrium. The lining of the uterus that is shed each month as
the menstrual period. As the monthly cycle progresses,
the endometrium thickens and thus provides a nourishing
site for the implantation of a fertilized egg.
Epididymis. A tightly coiled system of tiny tubing where sperm collect
after leaving the testis. Sperm continue to mature as
they are pushed through the epididymis, which covers
the top and back sides of each testis.
Estradiol. The predominant estrogen (hormone) produced by the follicular
cells of the ovary.
Estrogen. The female sex hormones produced by the ovaries which
are responsible for the development of female sex characteristics.
Estrogens are largely responsible for stimulating the
uterine lining to thicken during the first half of the
menstrual cycle in preparation for ovulation and possible
pregnancy. They are also important for healthy bones
and overall health. A small amount of these hormones
are also produced in the male when testosterone is converted
to estrogen in fat cells.
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Fallopian
tubes. A pair of tubes attached to each side
of the uterus. In normal conception, the sperm and egg
meet and fertilization occurs inside the tube.
Fertilization. The fusion of sperm and egg.
Fimbria. The flared end (fingers) of the fallopian tube that
sweeps over the surface of the ovary and helps to direct
the egg into the tube.
Follicles. Fluid-filled sacs located just beneath the ovary's surface
which contains the eggs (oocytes).
Follicle
stimulating hormone (FSH). In women, FSH is
the pituitary hormone responsible for stimulating follicular
cells in the ovary to grow, triggering egg development
and production of the female hormone estrogen. In the
male, FSH is the pituitary hormone that travels through
the bloodstream to the testes and helps stimulate them
to manufacture sperm.
Fructose. A sugar which is made in the seminal vesicles. The presence
or absence of fructose in the semen may indicate the
location of a blockage in the duct system.
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Galactorrhea. Milk production by the breasts of a woman who is not
nursing: caused by elevated levels of the pituitary
hormone prolactin.
Gamete
intrafallopian transfer (GIFT). An assisted
reproductive technology that involves surgically removing
eggs from a woman's ovary, combining them with sperm,
and immediately injecting the eggs/sperm mixture into
the fallopian tube. Fertilization then hopefully takes
place inside the fallopian tube. One disadvantage of
GIFT is the inability to know whether or not fertilization
took place if the woman does not become pregnant.
Gestational
carrier. A woman who carries an embryo to delivery.
The embryo is derived from the egg and sperm of persons
not related to the carrier; therefore the carrier has
no genetic relationship with the resulting child.
Gonorrhea. A sexually transmitted disease caused by the gonococcus
bacteria that can cause pelvic infections, scar tissue,
and subsequent tubal damage.
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Hamster
egg penetration test. A laboratory test that
measures sperm/egg membrane fusion using zona-free hamster
eggs and human sperm to test the capability of sperm
to penetrate the egg during IVF.
Hepatitis
B and C. Viruses that may be sexually transmitted,
or transmitted by contact with blood and other bodily
fluids, that can cause infection of the liver leading
to jaundice and liver failure.
Human
chorionic gonadotropin (hCG). A hormone that
increases early in pregnancy. This hormone is produced
by the placental tissue. Its detection is the basis
of pregnancy tests. It can also be used as an LH substitute
to trigger ovulation in conjunction with clomiphene
or gonadotropin therapy. The U.S. trade names are A.P.L.â,
Pregnylâ, and Profasâ.
Human
immunodeficiency virus (HIV). A retrovirus
that causes acquired immune deficiency syndrome (AIDS),
a disease that destroys the body's ability to protect
itself from infection and disease. It is transmitted
by the exchange of bodily fluids or blood transfusions.
Human
menopausal gonadotropin (hMG). A fertility
drug containing follicle stimulating hormone (FSH) and
luteinizing hormone (LH). It is derived from the urine
of postmenopausal women. The U.S. trade names are Pergonalâ,
HumegonT, and RepronexT.
Hydrosalpinx. A blocked, dilated, fluid-filled fallopian tube.
Hypospadias. An abnormality in which the urethra opens on the underside
of the penis. This condition may prevent the semen from
being deposited into the female reproductive tract during
intercourse.
Hypothalamus. A thumb-sized area in the base of the brain that controls
many functions of the body, regulates the pituitary
gland, and releases gonadotropin releasing hormone (GnRH).
Hysteroscopy. A diagnostic procedure in which a lighted scope (hysteroscope)
is inserted through the cervix into the uterus to enable
the physician to view the inside of the uterus
Hysterosalpingogram
(HSG). An x-ray procedure in which a special
media (a dye like solution) is injected through the
cervix into the uterine cavity to illustrate the inner
shape of the uterus and degree of openness (patency)
of the fallopian tubes.
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Immunoglobulins. Proteins having known antibody activity that are important
components in the body's immune system.
Implantation. The process whereby an embryo embeds in the uterine
lining in order to obtain nutrition and oxygen. Sometimes
an embryo will implant in areas other than the uterus,
such as in a fallopian tube. This is known as an ectopic
pregnancy.
Infertility
workup. A series of evaluations and tests to
determine the cause(s) of infertility.
Insemination. Placement of sperm via a syringe into a female's uterus
or cervix for the purpose of producing a pregnancy.
Interstitium. The area in the testes outside the seminiferous tubules
which contains Leydig cells and other interstitial cells.
Intracervical
insemination (ICI). The process of depositing
a semen sample directly into the female's cervix.
Intracytoplasmic
sperm injection (ICSI). A micromanipulation
technique that involves injecting a sperm directly into
an egg in order to facilitate fertilization.
Intrauterine
insemination (IUI). The process whereby a sperm
preparation is injected directly into the uterine cavity
in order to bypass the cervix and place the sperm closer
to the egg. The sperm are usually washed first in order
to remove chemicals that can irritate the uterine lining
and to increase sperm motility and concentration.
In
vitro fertilization (IVF). A method of assisted
reproduction that involves combining an egg with sperm
in a laboratory dish. If the egg fertilizes and begins
cell division, the resulting embryo is transferred into
the woman's uterus where it will hopefully implant in
the uterine lining and further develop. IVF may be performed
in conjunction with medications that stimulate the ovaries
to produce multiple eggs in order to increase the chances
of successful fertilization and implantation. IVF bypasses
the fallopian tubes and is often the treatment choice
for women who have badly damaged or absent tubes.
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Karyotype. A chromosomal analysis conducted on tissue or blood.
Libido. Sexual drive and desire.
Laparoscopy. The insertion of a long, thin, lighted, telescope-like
instrument called a laparoscope into the abdomen through
an incision usually in the navel to visually inspect
the contents of the pelvic and abdominal cavities. Other
small incisions may also be made and additional instruments
inserted to facilitate diagnosis and allow surgical
correction of abnormalities. The surgeon can sometimes
remove scar tissue and open closed fallopian tubes during
this procedure.
Laparotomy. Major abdominal surgery through an incision in the abdominal
wall. This procedure necessitates a hospital stay of
one to several days afterwards and bed rest for up to
six weeks.
Leydig
cells. The interstitial cells in the testes
that produce the male hormone testosterone.
Liquifaction. The process by which semen turns from a jelly-like consistency
to liquid.
Luteal
phase defect. A condition present when the
lining of the uterus does not mature properly in response
to progesterone secretion by the ovary after ovulation.
Luteinizing
hormone (LH). In women, the pituitary hormone
that triggers ovulation and stimulates the corpus luteum
of the ovary to secrete progesterone and androgens during
the second half of the menstrual cycle. In the male,
LH is the pituitary hormone which stimulates the testes
to produce the male hormone testosterone.
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Menopause. Natural cessation of ovarian function and menstruation.
Menopause can occur between the ages of 42 and 56 but
usually occurs around the age of 51, when the ovaries
stop producing eggs and estrogen levels decline.
Methotrexate. A medication that destroys pregnancy-related tissue
and hastens reabsorption of this tissue in a woman with
an ectopic pregnancy.
Micromanipulation. A group of procedures in which the egg (oocyte) and
sperm are manipulated to aid in fertilization.
Microsurgery. A type of surgery which uses magnification, meticulous
technique, and fine suture material in order to get
precise surgical results. Microsurgery is important
for certain types of tubal surgery in the female, as
well as for vasectomy reversal in the male.
Mittelschmertz. A pain in the lower abdomen that is associated with
ovulation. It is usually related to the rupture of the
follicle as the egg is released.
Miscarriage. The naturally occurring expulsion of a nonviable fetus
and placenta from the uterus; also known as spontaneous
abortion or pregnancy loss.
Motility. The percentage of all moving sperm in a semen sample.
Normally 50 percent or more are moving rapidly.
Multifetal
pregnancy reduction. Also known as selective
reduction. A procedure to reduce the number of fetuses
in the uterus. This procedure may be considered for
women who are pregnant with multiple fetuses. As the
risk of extreme premature delivery, miscarriage (spontaneous
abortion), and other problems increases with the number
of fetuses present, this procedure may be performed
in an attempt to prevent the entire pregnancy from aborting.
Myasthenia
gravis. A disorder of neuromuscular function
characterized by muscular weakness and fatigue. It may
affect any muscle of the body, but especially those
of the eye, face, lips, tongue, throat, and neck.
Mycoplasma. A class of bacteria that may cause diseases that affect
the reproductive system.
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OIigomenorrhea. An abnormally infrequent or light menstrual flow.
Oocytes. Eggs; also called ova.
Operative
laparoscopy. The insertion of a laparoscope
into the abdomen through an incision in the navel to
surgically correct abnormalities of the internal pelvic
organs. The surgeon can sometimes cut and remove scar
tissue and open closed fallopian tubes during this procedure.
Ovarian
hyperstimulation syndrome (OHSS). A condition
that may result from ovulation induction characterized
by enlargement of the ovaries, fluid retention, and
weight gain.
Ovaries. The paired female sex glands in the pelvis, located
one on each side of the uterus. The ovaries produce
eggs and hormones including estrogen, progesterone,
and androgens.
Ovulation. The release of a mature egg from its follicle in the
outer layer of the ovary. Ovulation usually occurs on
day 14 or 15 of a 28-day cycle or 14 days prior to the
first day of the next period.
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Parathyroid. Any of four small kidney-shaped glands that lie in pairs
near the thyroid gland and secrete parathyroid hormone,
which is necessary for calcium and phosphorous metabolism.
Partial
salpingectomy. An operation where the section
of a fallopian tube containing an ectopic pregnancy
is removed. This procedure attempts to preserve most
of the tube for subsequent re-attachment using microsurgery
in order to achieve future fertility.
Perinatologist. A maternal-fetal medicine specialist.
Peritoneum. The lining of the abdominal cavity.
Pituitary
gland. A small hormone-producing gland just
beneath the hypothalamus in the brain which controls
the ovaries, thyroid, and adrenal glands. Ovarian function
is controlled through the secretion of follicle stimulating
hormone (FSH) and luteinizing hormone (LH). Disorders
of this gland may lead to irregular or absent ovulation
in the female and abnormal or absent sperm production
in the male.
Platelets. Circulating blood components that aid in blood clotting
and prevention of bleeding.
Pneumonia. Lung inflammation.
Polycystic
ovarian syndrome (PCOS). A disorder in which
the ovaries produce an excess amount of male hormones
(androgens), and ovulation does not occur regularly.
It is often associated with hirsutism, irregular menstrual
cycles, infertility, and/or obesity.
Postcoital
test (PCT). The microscopic analysis of a sample
of cervical mucus, usually collected wilhin 18 hours
after intercourse. This test determines the quality
of cervical mucus and the ability of sperm to enter
and penetrate the mucus.
Prednisone. A synthetic drug, similar to cortisol, often used to
treat an overactive adrenal gland.
Premature
ovarian failure (POF). Cessation of menstrual
periods due to failure of the ovaries before age 40.
Also known as early menopause.
Progesterone. A female hormone secreted by the corpus luteum after
ovulation during the second half of the menstrual cycle
(luteal phase). It prepares the lining of the uterus
(endometrium) for implantation of a fertilized egg and
allows for complete shedding of the endometrium at the
time of menstruation. In the event of pregnancy, the
progesterone level remains stable beginning a week or
so after conception.
Prolactin. A protein hormone secreted by the pituitary gland into
the blood. When elevated, it may lead to absence of
menstrual periods and anovulation as well as the secretion
of a milk-like substance from the breasts.
Prostaglandins. A group of acids found throughout the body, especially
in semen, that stimulate smooth muscle tissue and affect
blood pressure, metabolism, body temperature, and other
body processes. In women, prostaglandins are hormone-like
chemicals produced in large amounts by endometrial cells.
They stimulate the uterine muscles to contract and are
largely responsible for menstrual cramps.
Prostate
gland. The gland located below the bladder
in males where the ejaculatory ducts and the urethra
join. It also contributes fluid to the ejaculate.
Proximal
tubal blockage. Tubal blockage that occurs
near where the tubes enter the uterus.
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Recipient. A person who receives donated eggs, sperm, or embryos.
RESOLVE. A national infertility support group. RESOLVE's address
is 1310 Broad- way, Somerville, Massachusetts 02144-1731;
(617)623-0744.
Rh
sensitized. A condition whereby an Rh negative
woman has been immunized (sensitized) to the Rh factor
through previous exposure to this antigen. An Rh positive
fetus may suffer significant intrauterine and immediate
post-delivery consequences which can lead to significant
handicaps and/or death.
Salpingectomy. An operation where one or both of the fallopian tubes
are removed.
Salpingitis
isthmica nodosa (SIN). A thickening and inflammation
of the walls of the fallopian tubes near where they
enter the uterus, creating a proximal obstruction.
Salpingo-oophorectomy. Removal of fallopian tube and ovary together.
Salpingostomy. A surgical procedure where the wall of the fallopian
tube is opened and the ectopic pregnancy is removed.
The tubal incision heals spontaneously.
SART
registry. An ongoing collection of IVF results
from participating clinics developed and maintained
by SART, a society affiliated with the American Society
for Reproductive Medicine.
Semen
analysis. The microscopic examination of semen
to determine the number of sperm (sperm count), their
shapes (morphology), and their ability to move (motility).
Seminal
plasma. The fluid in which the sperm is ejaculated.
Seminal plasma makes up most of the fluid volume of
semen.
Seminal
vesicles. Two oblong glands located behind
the bladder that join each vas deferens and empty into
the urethra. They contribute more than half of the fluid
volume of semen.
Seminiferous
tubules. The tiny tubes in the testes where
sperm cells are produced and mature.
Septate
uterus. A uterus with a dividing wall of tissue
(septum) within the uterine cavity.
Sexually
transmitted diseases. Diseases which are transmitted
through sexual contact. Some can cause pelvic infections
and lead to infertility by damaging or destroying the
fallopian tubes.
Speculum. A device inserted into the vagina to allow visualization
of the cervix.
Sperm
morphology. The shape of individual sperm as
seen under a microscope. At least 50 percent of the
sperm in a semen sample should have oval heads and slightly
curving tails.
Sperm
motility. The percentage of all moving sperm
in a semen sample. Normally 50 percent or more are moving
rapidly.
Sperm
washing. A technique that removes sperm from
the semen.
Spironolactone. A steroid hormone that directly blocks the effect of
androgens on the skin. It initially was used as a diuretic.
Aldactone® is a brand name.
Sonohysterography. A technique which involves injecting a special fluid
into the uterus and fallopian tubes in order to observe
the image of these structures produced by ultrasound
on a monitor screen.
Strict
morphological assessment. Microscopic evaluation
of sperm shape using very rigid criteria. Normal sperm
counts have greater than 14 percent normal forms.
Superovulation. A procedure to facilitate fertilization. The woman is
given ovulation inducing drugs which cause her ovaries
to produce multiple eggs. When the eggs are ready to
be released, the woman is inseminated with her partner's
sperm or donated sperm.
Surrogate. A traditional surrogate is a woman who is inseminated
with the sperm of a man who is not her partner in order
to conceive and carry a child to be reared by the biological
(genetic) father and his partner. In this procedure
the surrogate is genetically related to the child. The
biological father and his partner must usually adopt
the child after its birth. Another type of surrogate
is a gestational carrier. This process involves implanting
a fertilized egg (embryo) into the surrogate's uterus.
In this procedure the surrogate does not provide the
egg and is therefore not biologically (genetically)
related to the child.
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Tay-Sachs
disease. A fatal heredity disorder characterized
by mental retardation and paralysis. This condition
is most common in offspring from Jewish couples of eastern
European descent.
Testes. The two male reproductive glands located in the scrotum
which produce testosterone and sperm.
Testosterone. In men, the primary male hormone produced by the testes
which is responsible for the development of sperm, male
physical characteristics, and sex drive. Testosterone
is also produced in small quantities by the ovaries
in women.
Thyroid
gland. A gland located in the neck which secrets
a hormone that regulates body growth and metabolism.
Transcervical
cannulation. An x-ray directed technique of
opening a fallopian tube which is blocked proximally
(at the junction of the uterus) using a narrow, flexible
tube inserted through the vagina into the uterine cornu.
Also known as selective salpingography or retrograde
hysterosalpingography.
Transvaginal
ultrasound aspiration. An ultrasound-guided
technique for egg retrieval. A long, thin needle is
passed through the vagina into the ovarian follicle,
and suction is applied to retrieve the egg. Also known
as ultra- sound-guided egg aspiration and transvaginal
egg retrieval.
Tubal
(ectopic) pregnancy. A fertilized egg that
implants within the fallopian tube rather than the uterine
cavity. Under these conditions, the tube can rupture
and bleed. Tubal pregnancies can be fatal if they are
not identified and treated early.
Tubal
ligation. A surgical procedure where the fallopian
tubes are clamped, clipped, or cut to prevent pregnancy.
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Ultrasound. A picture of internal organs produced by high-frequency
sound waves.
Uterus. The hollow, muscular female reproductive organ in the
pelvis where an embryo implants and grows during pregnancy.
The lining of the uterus, called the endometrium, produces
the monthly menstrual blood flow when there is no pregnancy.
Varicocele. A varicose or dilated vein within the scrotum that can
cause infertility in some men.
Vas
deferens. The two muscular tubes that carry
sperm from the epididymis to the urethra.
Vasoepididymostomy. A surgical procedure to connect the vas deferens to
the epididymis in order 10 bypass an obstruction in
the epididymis: sometimes used for vasectomy reversal.
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