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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. 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. This produces a sensation of pain that may extend to the patient's shoulders. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required.

2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.

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8 Involvement in group counseling and exercise is more effective than weight loss advice alone. But the new standard suggests that the inability to find a suitable sexual partner could be considered an equal disability, The Daily Telegraph reports. Blood test: This can assess hormone levels and whether a woman is ovulating. Peripheral organ The hypothalamus-pituitary axis may be interrupted by hormonally active peripheral tumors or other exogenous factors, due to cortical excess, cortical deficiency, or estrogen excess.

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In the past, if the above methods didn’t work, it often meant lifelong male infertility. Lack of estrogen brings about decreased spinnbarkeit of the cervical mucus. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

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Infection An increased number of white blood cells in the semen may be observed in patients with infectious or inflammatory processes of the genital tract. It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. However, if the E2 level is greater than 100 pc/mL and the follicles are 10 mm in diameter, hMG should be continued at the same dose. Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. In the past, if the above methods didn’t work, it often meant lifelong male infertility. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.