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The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates.

Delayed conception and active and passive smoking. The embryo is then placed in the uterus to begin a pregnancy. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. Measures the LH in urine to detect if and when ovulation has occurred. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study.

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IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.

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History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995. A uterus capable of developing and sustaining the conceptus to maturity. Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t.

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Endometriosis may be treated through laparoscopic surgery. At this point, pouring the semen drop by drop should be possible. Problems in the uterus or fallopian tubes can prevent the egg from traveling from the ovary to the uterus, or womb. The success rate of tubocornual anastomosis ranges from 20-58%. This procedure is performed in the doctor’s office without anesthesia. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins.