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Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20). It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. In-vitro fertilization and donor insemination are major procedures involved. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.

Recovery of Spermatogenesis after Testicle Autotransplantation in an Adult Male. (PDF, 2 MB) Fertility and Sterility, 1982. Prolonged diestrus can result from luteal cysts in the ovary.

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30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism). Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea.

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During emission, sperm are propelled forward by peristalsis. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Fertility is not an issue for some patients affected by DES, and they remain undiagnosed until they have an abnormal Papanicolaou test result.

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Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. Up to 2 percent of men are thought to have suboptimal sperm. The use of Epididymal and Testicular Sperm for ICSI. (PDF, 1 MB) From IX World Congress on In Vitro Fertilization and Alternated Assisted Reproduction, 1995. Genetic tests can identify specific obstacles to fertility and problems with sperm. Vascular injuries can result in hemorrhage that may be life-threatening. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed. 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). Treatment of Anovulatory Conditions Jump to section + Women with WHO group I ovulatory disorders should be counseled to achieve a normal body weight. For example, treatment for Hodgkin disease has been estimated to lead to infertility in as many as 80-100% of patients.