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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 principal indications for CC use are oligomenorrhea, especially polycystic ovarian syndrome (PCOS), and for patients with slight menstrual irregularities. 16. Investigation of suspected tubal and uterine abnormalities: 1. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991. If the correction is not done, it may be harder for the sperm to get to the female's cervix. What Forms of Male Infertility are there left to Cure? (PDF, 2 MB) Human Reproduction, 1995.

Cervical factors are also thought to play a minor role, although they are rarely the sole cause. An ultrasound scan can detect an ectopic pregnancy. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. About 85 percent of male-female couples will be able to get pregnant within 12 months of trying.

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Counseling about options should be offered to couples who are not physically able to conceive (i.e., same-sex couples or persons lacking reproductive organs). Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles.

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Disadvantages of IVF include failure to conceive, OHSS and expensiveness. A variety of hormonal imbalances can affect a man's fertility. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. Determination of serum E2 and LH levels can also be performed. [203] Treatment of Primary Amenorrhea hMG is the treatment of choice for patients with primary amenorrhea due to hypopituitarism.

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It's used to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. ED may be the consequence of the conversion of androgens to estradiol. Factors effecting normal expectancy of conception. Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. These may cause abortion, neonatal death, fetal resorption, and apparent infertility.