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Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. Types of Infertility There are two types of infertility: primary and secondary.

Diagnostic evaluation of the infertile female: a committee opinion. The administration on GnRH should be extended throughout the luteal phase, or this should be supplemented with the administration of exogenous hCG. [202] Monitoring folliculogenesis is simpler than using hMG. Up to 2 percent of men are thought to have suboptimal sperm.

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Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. Sperm were inserted into the oocyte (bar = 100 µm). (B) Marmoset blastocysts produced by ICSI. (bar = 100 µm). This should be followed by documentation of ovulation via serum progesterone.

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Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY INFERTILITY?

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Make an appointment with your doctor and go over your concerns. Leptin is a hormone associated with numerous effects including appetite control, inflammation, and decreased insulin secretion, according to many studies. Alkalinizing the urine before the procedure is necessary. Quantitative Evaluation of Spermatogenesis by Testicular Histology in Men with Congenital Absence of the Vas Deferens Undergoing Epididymal Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1990. Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. Although tubal disease was the original indication for IVF, many more indications have developed over the years. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Patients may achieve normal virilization and adult phenotype by the administration of exogenous testosterone, but they are infertile. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process.