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Most often, the problem lies in the process of either making or moving thesperm. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. Theoretically, with this therapy, we can get artificial gamets in vitro. Here are some common male infertility treatments.

6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. If left untreated, infections like chlamydia, gonorrhea, and mycoplasma can eventually lead to infertility.  The reproductive process In order to successfully conceive, certain reproductive steps must occur, and they are as follows: One of the ovaries releases a mature egg. Uterine fibroids Fibroids are noncancerous growths in the uterus. An increased volume is rarely observed and is often caused by a contaminant, such as urine. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment.

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A relationship also exists between obesity and erectile dysfunction (ED). IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar.

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As the amount of adipose tissue increases, there is more aromatase available to convert androgens, and serum estradiol levels increase. Semm published over 1000 papers in various journals.[4] He also produced over 30 endoscopic films and more than 20,000 colored slides to teach and inform interested colleagues about his technique. Panhypopituitafism: Complete pituitary gland failure--lowers growth hormone, thyroid-stimulating hormone, and LH and FSH levels.  Symptoms include:  lethargy, impotence, decreased libido, loss of secondary sex characteristics, and normal or undersized testicles.  Supplementing the missing pituitary hormones may restore vigor and a hormone called hCG may stimulate testosterone and sperm production.

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Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. 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. There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. After repair, 40-70% of patients have improved semen parameters, while 40% are able to impregnate their partner without other interventions. The presence of open tubes is essential for natural conception, as sperm must traverse the tubes in order to reach and fertilize the ovulated egg. Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. First-line therapy is the ultrasound-guided transvaginal puncture. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization.