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This produces a sensation of pain that may extend to the patient's shoulders. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.

Patients who do not achieve ovulation after three to six cycles should be referred to an infertility specialist for further treatment. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

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Society and culture[edit] Perhaps except for infertility in science fiction, films and other fiction depicting emotional struggles of assisted reproductive technology have had an upswing first in the latter part of the 2000s decade, although the techniques have been available for decades.[76] Yet, the number of people that can relate to it by personal experience in one way or another is ever growing, and the variety of trials and struggles is huge.[76] Pixar's Up contains a depiction of infertility in an extended life montage that lasts the first few minutes of the film.[77] Other individual examples are referred to individual subarticles of assisted reproductive technology Ethics[edit] There are several ethical issues associated with infertility and its treatment. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors.

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Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. This is an uncommon type of anovulation disorder. These receptor dysfunctions may be explained by defects in specific chromosomal areas.

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Peripheral organ The hypothalamus-pituitary axis may be interrupted by hormonally active peripheral tumors or other exogenous factors, due to cortical excess, cortical deficiency, or estrogen excess. This is obviously extremely distressing for the couples involved. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. Intra-uterine insemination for male subfertility. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. This test is based on the fact that the ovaries produce progesterone in the second half of the menstrual cycle after a woman has ovulated. Young syndrome is a condition that leads to inspissation of material and subsequent blockage of the epididymis. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. It is better for a couple to see the doctor together. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Recent research carried out in Sweden covering stress markers in saliva demonstrated that patients who are stressed have a greater number of reproduction issues.