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An adequate semen analysis includes the following: Volume (1. Moderate ovarian hyperstimulation syndrome is characterized by ovarian enlargement (5-12 cm in diameter) moderate ascites, nausea, vomiting, abdominal discomfort, and weight gain greater than 10 lb. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995.

The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. The following hormones can be identified in the blood among others: FSH, LH, estradiol, prolactin, testosterone, DHEA-S and the thyroid hormones. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful. Although tubal disease was the original indication for IVF, many more indications have developed over the years.

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30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. A relationship also exists between obesity and erectile dysfunction (ED). Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Luteinized unruptured follicle syndrome can be prevented by the administration of hCG (10,000 IU IM) once the follicle reaches 23-24 mm in diameter.

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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. The more fetuses there are, the higher the risk of premature labor. National Collaborating Centre for Women's and Children's Health. Treatment of tubal obstruction generally requires referral for subspecialty care. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. The other cases are caused by a mixture of male and female problems or by unknown problems.

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The woman may be given a low dose of ovary stimulating hormones. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. Causes in women Infertility in women can also have a range of causes. Treatment of Renal Trauma by Angiographic Injection of Autologous Clot. (PDF, 422 KB) British Journal of Urology, 1974. Although obesity is well known to be associated with insulin resistance, women with PCOS are even more resistant to insulin than other patients who are obese. The typical indication is the oligoasthenoteratozoospermia here. The emotional toll on both partners can affect their relationship. Isolated LH deficiency (fertile eunuch) In these patients, LH levels are decreased while FSH levels are within the reference range. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. ART includes all fertility treatments in which both eggs and sperm are manipulated.