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Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism). Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Male infertility: New treatments, more pregnancies The ultimate goal of male infertility treatment is to create a pregnancy.

Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Diagnostic evaluation of the infertile female: a committee opinion. Approximately 10% of cases are unexplained, where no definitive cause can be identified. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.

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As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. Men should undergo evaluation with a semen analysis. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. 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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Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse.

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Septate uterus The hypothesis that a uterine septum can cause infertility is controversial. After tracking my period for a couple of months the app seemed pretty on track and worked just as I was hoping. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Opinion papers submitted by all participants will prioritize and address adaptation issues surrounding key questions which contribute to the consultations generating evidence-based WHO Guidelines.Signs of infertility  If you’re having trouble getting pregnant, you’re not alone. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. It is often defined as not conceiving after 12 months of regular sexual intercourse without the use of birth control. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. Estrous cycle abnormalities can cause infertility. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. Your physician will refer you to a reproductive urologist if appropriate.