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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

Common causes of infertility of females include: ovulation problems (e.g. polycystic ovarian syndrome, PCOS, the leading reason why women present to fertility clinics due to anovulatory infertility.[58]) tubal blockage pelvic inflammatory disease caused by infections like tuberculosis age-related factors uterine problems previous tubal ligation endometriosis advanced maternal age immune infertility Males[edit] The main cause of male infertility is low semen quality. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history.

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Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. Some physical effects may also result from treatment. Practice Committee of the American Society for Reproductive Medicine. But as it turns out, we men don't get off that easily. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989.

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In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present.

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ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. A bicornuate uterus can be associated with a history of recurrent miscarriages, and its repair is indicated only if other etiologies for the miscarriage have been excluded (see Surgical intervention below). The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Author disclosure: No relevant financial affiliations.