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Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube.

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. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen.

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Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. Treatment of tubal obstruction generally requires referral for subspecialty care.

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IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged. The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery.

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A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Lack of estrogen brings about decreased spinnbarkeit of the cervical mucus. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. An ultrasound scan can detect an ectopic pregnancy. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. In vitro fertilization[edit] IVF is the most commonly used ART. Heterologous or therapeutic insemination, formerly called artificial insemination by donor sperm, refers to the use of frozen sperm that has been quarantined for at least 6 months. [108] Thereafter, the specimen is ready to use once the donor has undergone the necessary screening tests required by the tissue bank, the US Food and Drug Administration (FDA), and the American Society for Reproductive Medicine (ASRM). [111] The source of the sperm can be either anonymous or from a donor designated by the couple. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus.