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IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. At this point, psychological consultation and support should be provided [44]. Medications, treatments, and drugs Some drugs can affect fertility in a woman.

Screening tests include increased plasma 17-hydroxylase and urine 17-ketosteroids. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4).

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Hystersalpingography (HSG): Further investigations 17. ï‚—Investigation of suspected tubal and uterine abnormalities: 2. 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.

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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Of the successful pregnancies, 85% are achieved within the first 4 cycles of intrauterine inseminations. Treatment of tubal obstruction generally requires referral for subspecialty care.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Couples will have to consider the ethical and emotional aspects of this procedure. Linthicum, Md.: American Urological Association, Inc.; 2010. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.


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