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Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Some women are infertile because their ovaries do not mature and release eggs. Women 35 and older should see their doctor after six months of trying. 9 IU/l for a low response and less than 4 IU/l for a high response. No evidence for: - ovarian volume - ovarian blood flow - inhibin B -oestradiol (E2) Further investigations 15.

Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. These and many other questions will help your physician design a specific evaluation and potential treatment for you. To ascertain a more precise assessment, a hysteroscopy of the uterus is run. They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. IUI treatment, where the sperm is transferred into the uterus via the cervix, is commonly used in cases of low sperm count or quality.

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New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. As well as generally causing pelvic and menstrual pain, it is estimated that around 40% of women faced with difficulties getting pregnant have endometriosis. Blood work to check hormone levels, usually of FSH and testosterone, but sometimes also LH, estradiol, or prolactin.

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Hormonal analysis reveals increased gonadotropin levels, while 60% have decreased testosterone levels. Macroscopic deletions of Yq11 are often observed in patients with azoospermia, although many new microdeletions have been implicated as a significant cause of infertility. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise.

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Patients who are suffering from Stein-Leventhal syndrome (also referred to as polycystic ovary syndrome, or PCOS) can also suffer from anovulation.[3] Up to 90% of cases of anovulation are caused by PCOS; this syndrome is usually hereditary.[4][5] Weight loss or anorexia can also cause hormonal imbalance, leading to irregular ovulation (dysovulation). Results of Microsurgical Vasoepididymostomy: Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Human Reproduction, 1989. Defects of tubules that transport sperm There are many different tubes that carry sperm. The agents most often associated with infertility are the alkylating agents such as cyclophosphamide. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. The fertilized egg moves down the fallopian tube towards the uterus. Disadvantages of IVF include failure to conceive, OHSS and expensiveness. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.