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ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010.

These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. During the first two years after menarche 50% of the menstrual cycles could be anovulatories. The principal indications for CC use are oligomenorrhea, especially polycystic ovarian syndrome (PCOS), and for patients with slight menstrual irregularities. The CC response is monitored using pelvic ultrasonography starting on menstrual cycle day 12. This is an uncommon type of anovulation disorder.

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Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus. Hypothyroidism has no effect on male libido or semen quality. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

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Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. They can be blocked due to numerous causes, including infections,  trauma or abnormal development, such as with cystic fibrosis or similar inherited conditions. Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm.

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Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions. If you’re worried about your fertility, the best thing to do is talk to your doctor. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. In patients with nonobstructive azoospermia, retrograde ejaculation can be the etiologic factor. [107] The treatment consists of recovering sperm from a urine sample collected immediately after ejaculation. Some couples experience pressure from society, parents and family, who expect that they wish to have children. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. GnRH analog ([GnRHa], leuprolide acetate, nafarelin acetate, goserelin acetate) causes down-regulation of the pituitary, inducing chemical menopause after injections of 3. There are four parameters analyzed: 1) semen volume – should be at least 1.