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Diagnostic evaluation of the infertile female: a committee opinion. Sperm production problems One of the most common causes of male infertility is problems with sperm production. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Production of the First Offspring from Oocytes Derived from Fresh and Cryopreserved Pre-antral Follicles of Adult Mice. (PDF, 2 MB) Reproductive BioMedicine Online, 2007.

Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. The following problems are possible: Low sperm count: The man ejaculates a low number of sperm. IUI increases the number of the sperm in the fallopian tubes, where fertilization takes place. Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone.

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Surgical therapy of a macroprolactinoma is rarely curative, although this should be considered in patients with visual-field defects or those who do not tolerate bromocriptine. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. Ovulation should be documented by serum progesterone level measurement at cycle day 21. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. If this is unsuccessful, the dosage may be increased to 100 mg daily. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.

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Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Products include enzymes and proteases to liquefy the seminal coagulum.

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Other factors, such as luteal phase defect or production of anti-sperm antibodies. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. Chemotherapy: Some types may significantly reduce sperm count. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Excess alcohol consumption: This may lower male fertility. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. Symptoms of hormonal imbalance: Sudden weight gain, hair loss, constant fatigue, edema, headaches, nipple discharge, facial hair, or severe acne are all signs of possible hormonal disorders. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995.