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Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. This prevents the sperm from fertilizing the egg. A spermiogram control study is performed after 3 cycles of therapy. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Primary spermatocytes undergo meiosis as the cells successively pass through the preleptotene, leptotene, zygotene, and pachytene stages to become secondary spermatocytes.

For a woman to be fertile, the ovaries must release healthy eggs regularly. Corticosteroids are usually used to reduce the production of testosterone.

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Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Sterility can affect both men and women, with the cause involving either one or both parties. ART: Gamete Intrafallopian Transfer (GIFT) GIFT is a procedure that involves ovarian stimulation, egg retrieval, and placing a mixture of sperm and eggs directly into the woman’s fallopian tube to foster fertilization inside the female body.

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Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. Chemotherapy Chemotherapy is toxic to actively dividing cells. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. Ejaculatory Duct Obstruction. (PDF, 3 MB) The Journal of Urology, 1980. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981.

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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. Allocation of medical resources that could be used elsewhere The legal status of embryos fertilized in vitro and not transferred in vivo. (See also beginning of pregnancy controversy). Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth. If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.