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Treatment of Female Infertility: Assisted Reproductive Technology (ART) Assisted Reproductive Technology (ART) is a term used to collectively describe a number of noncoital methods of conception that treat causes of infertility not responsive to conventional methods. 1 Among couples 15 to 44 years of age, nearly 7 million have used infertility services at some point. The optimum fertile period is around 23 years of age when only 5% of women have issues getting pregnant. Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982.

Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. For men, a visual inspection of sexual characteristics can identify such endocrinopathies as hypogonadism (a condition resulting in atrophy or deficient development of secondary sexual characteristics) or Klinefelter’s syndrome (a genetic anomaly often associated with infertility). Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

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There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. In this condition, semen ejaculates backwards into the bladder instead of out the penis. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm.

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Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. 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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In-vitro fertilization (IVF.)Sperm are mixed with multiple eggs collected from the woman in a “test tube” (actually just a plastic dish.). To analyze tubal causes of sterility, different methods can be considered. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Primary infertility refers to cases in which no pregnancy has gone satisfactorily full term. If you’re having trouble conceiving, you are certainly not alone. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. These time intervals would seem to be reversed; this is an area where public policy trumps science.