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Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Government, the Department of Defense, or the Department of the Air Force. After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information.

Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Testosterone and multiple hormones made in the brain control sperm production. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005.

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Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. Only an additional 7% of couples will conceive in the second year. If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. A history and physical examination can help direct the evaluation. The feelings experienced by the infertile couples include depression, grief, guilt, shame, and inadequacy with social isolation.

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Malformation of the eggs themselves may complicate conception. Females[edit] The following causes of infertility may only be found in females. Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. Polycystic ovarian syndrome (PCOS) is one of the most common disorders impacting ovulation. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004.

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ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. Primary sterility exists when the couple has never fallen pregnant and secondary sterility when the issue arises following one successful pregnancy but no further pregnancies. A rapid slide agglutination test (RSAT) kit to detect serum antibodies is commercially available. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Fertility treatments for women Fertility drugs might be prescribed to regulate or induce ovulation. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. The potentials of these systems enhance the possibilities of the mobile medical care with those lightweight assistance systems. For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995.