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Management of the infertile couple: an evidence-based protocol. 6 million (6%) married women aged 15–44 years in the United States reported difficulty getting pregnant (3).

Medical treatment is a temporary treatment, ideally used for patients who are close to menopause or who are risky surgical candidates. Perfect Anatomical Reconstruction of Vas Deferens with a new Microscopic Surgical Technique. (PDF, 19 MB)Fertility and Sterility, 1977. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg.

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Living with male infertility When Steve S. of Joliet, Illinois was diagnosed with male infertility, he felt profound disappointment. If no improvement occurs, depending on the amount of functional sperm recovery after the sperm wash, the decision must be made to proceed with either intrauterine insemination or in vitro fertilization. Shaban says that often, there is embarrassment. “Guys confuse libido and potency with fertility. These are agents that support the follicular maturation and the secretion of gonadotropins.

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Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Is there a way to increase a couple’s chance of getting pregnant?

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Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. The results of these tests help determine the best fertility treatment. An ultrasound scan can detect an ectopic pregnancy. It stimulates the ovaries to mature egg follicles. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion.[11][12] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring.[12][13][14] Less pain, leading to less pain medication needed.[15][14] Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.[13][16] Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.[6] There are more indications for laparoscopic surgery in gastrointestinal emergencies as the field develops.[17] Although laparoscopy in adult age group is widely accepted, its advantages in pediatric age group is questioned.[18][19] Benefits of laparoscopy appears to recede with younger age. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. Hysteroscopy can also be combined with laparoscopy when necessary. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system.


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