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In addition, infertility is considered also a public problem. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Once the follicles (fluid filled sacs containing the eggs) reach a mature size, an HCG injection is administered which leads to final development and maturation of the eggs. Online support from organizations such as Resolve can be helpful.

ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002.

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Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. Blocked ovaries can start functioning again without a clear medical explanation. CC has been in clinical use since the early 1960s. Delayed conception and active and passive smoking.

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Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease. Checking testosterone levels is advisable because an elevation above the reference range has a negative feedback effect on sperm production. If the epididymis is blocked, sperm may not be ejaculated properly. Symptoms If a couple doesn't get pregnant after a year of unprotected intercourse, both the man and woman should be evaluated. Acquired causes include tumor, infarction, radiation, infection, or granulomatous disease.

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Maternal age Infertility due to age is one of the most common causes of female infertility. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty. Although many of these can be treated through surgery or hormonal substitutions, some may be indefinite.[59] Infertility associated with viable, but immotile sperm may be caused by primary ciliary dyskinesia. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal. There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome. In some cases this can also cause considerable pain when breathing. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia.