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Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Around one third of couples have difficulty conceiving due to a low sperm count. Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995.

Experts then assess your sperm count, their shape, movement, and other variables. “Generally, a higher number of normal-shaped sperm means higher fertility,” says Shaban. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby.

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Fertility treatment with donor eggs is usually done using IVF. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. If the egg does not travel, it can be harder to conceive naturally.

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Surgical management: - Surgical correction of epididymal block in obstructive azoospermia. - No evidence for surgical treatment of varicocele in infertility. (remains an area of debate) 3. In a third of cases, the reason lies only with the man; in another third, it is because of the woman; and in the rest of the cases, it is a combination of both, or the cause is unknown. As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body.

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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. By the end of this step, most of healthcare professionals will be able to sketch out their provisional diagnosis. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Optimal sperm conditions Although only one sperm is needed to fertilise your partner’s egg, the enzymes from multiple sperm are needed to break down the egg’s protective barrier. Female and male factors are equally responsible for infertility. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. A karyotype test and a Y chromosome test for microdeletions are indicated in patients with nonobstructive azoospermia or severe oligospermia (< 5 million sperm/mL), although indications are expanding.[20] Klinefelter syndrome Klinefelter syndrome is the most common chromosomal cause of male infertility, estimated to be present in 1 per 500-1000 male births. In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975. Other factors, such as luteal phase defect or production of anti-sperm antibodies.