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Treatment The cost of infertility treatment is high [34]. Semen analysis The semen analysis is a very important test and should be done early in the evaluation process. Medical conditions Some medical conditions can affect fertility. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy.

Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. In most cases, surgery can be performed to either reverse these blockage or to retrieve sperm directly from the epididymis and testicles. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. Is Congenital Bilateral Absence of Vas Deferens a Primary Form of Cystic Fibrosis?

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Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. 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.

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PPT Presentation Summary : Embryo cryopreservation (via ovulation induction) Oocyte cryopreservation. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.

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Regrettably, this often leads to untruly high expectations of assisted reproduction techniques (ART) [40]. Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. High-cost treatments are out of financial reach for some couples. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause.