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In addition, infertility is considered also a public problem. 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. The fertilized embryo is then transferred to womb. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. This is where no cause can be identified in either the woman or man. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Radiation treatment and/or chemotherapy for cancer.

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8 Women in group I typically present with amenorrhea and low gonadotropin levels, most commonly from low body weight or excessive exercise. Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility.

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Optimizing natural fertility: a committee opinion. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). Prolactinomas or the intakes of dopamine antagonists (typical antipsychotics for example) cause hyperprolactinemia. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.

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The ICSI process takes place following a cycle during which fertility drugs are administered to the female partner to aid in the production of multiple eggs. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Malformation of the eggs themselves may complicate conception. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity. Abundant Gene Conversion Between Arms of Palindromes in Human and Ape Y Chromosomes. (PDF, 340 KB)Nature, 2003.