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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Benefits of laparoscopy are especially the possibility to simultaneously remove adhesions in one session.

Debate: Are Spermatid Injections of any Clinical Value? (PDF, 6 MB) Human Reproduction, 1998. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Some causes can be easily detected and treated, whereas others cannot.

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Age plays quite a critical role, as fertility peaks for both men and women in their mid-twenties. ED may be the consequence of the conversion of androgens to estradiol. The more fetuses there are, the higher the risk of premature labor.

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It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997.

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A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. After in vitro fertilization, your doctor transfers the fertilized eggs into your uterus.Male infertility isn't something you hear much about on the news, so you may be surprised to know that male infertility is almost as likely as female infertility to be involved in a couple's inability to achieve pregnancy. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. 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).