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A bicornuate uterus can be associated with a history of recurrent miscarriages, and its repair is indicated only if other etiologies for the miscarriage have been excluded (see Surgical intervention below). Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. Intra-uterine insemination for unexplained subfertility. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. In these methods, fertilization occurs inside the body.

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A spermiogram control study is performed after 3 cycles of therapy. Our miscarriage clinic can help investigate these issues and attempt to help couples with any future pregnancy. Donor semen should be free from any STI-producing organisms, including HIV. Hypothalamic-pituitary-gonadal axis stimulatory and inhibitory signals. Adding recombinant human FSH to HCG has been shown to be effective in achieving spermatogenesis in most patients.[18] Select patients with adult-onset idiopathic hypogonadotropic hypogonadism may respond to clomiphene citrate therapy.[19] Prader-Willi syndrome Patients have characteristic obesity, mental retardation, small hands and feet, and hypogonadotropic hypogonadism due to a GnRH deficiency. 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.

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After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. However, about one in five cases of infertility has no clear diagnosed cause.[73] In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. These include advancing maternal age, severe male factor infertility (whereby ICSI can be used to fertilize the egg), and endometriosis, amongst many others.

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Understanding the normal reproductive process is essential in knowing when to seek help. These receptor dysfunctions may be explained by defects in specific chromosomal areas. 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. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991.