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Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Costs for fertility testing and treatments History The doctor will ask questions to try to get clues as to the cause of your infertility. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. One third of the time, it is a problem with the woman. However, these tests have only poor to moderate predictive value despite widespread use.

Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. The patients are prepared in a similar way to in-vitro fertilization, firstly with ovarian stimulation and follicle puncture. Medical conditions Some medical conditions can affect fertility.

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Studies have shown that psychological issues contribute to reducing the sperm quality. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. ART: Intracytoplasmic Sperm Injection (ICSI) (Continued) Once an egg is injected, it is observed for approximately 14 hours to see if fertilization has occurred (average fertilization rate is about 65%), and for 24 hours to ensure that cell division has started.

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Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. When the big veins heat the testes too much, the heat damages the sperm.

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Empirical treatment with controlled ovarian hyperstimulation followed by intrauterine insemination has improved the pregnancy rate in those patients. [214] If pregnancy does not occur during the first 4 intrauterine insemination cycles, other alternatives include IVF or any of the associated assisted reproductive technologies procedures.Background Infertility is a common clinical problem. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. The dynamics of stress in fertile and infertile couples. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality.