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22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. The prevalence varies widely, being less in developed countries and more in developing countries where limited resources for investigation and treatment are available [2].

The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Treatment of tubal obstruction generally requires referral for subspecialty care.

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Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. Causes of Sterility in Men Image: “Colorized sperm sample under the light microscope” by Bobjgalindo. Cryptorchidism may be due to inherent defects in both testes because even men with unilateral cryptorchidism have lower than expected sperm counts. Hormone imbalances Infertility can result from disorders of the testicles themselves or an abnormality affecting other hormonal systems including the hypothalamus, pituitary, thyroid and adrenal glands.

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Patients with azoospermia should have a postejaculatory urine sample analyzed for sperm, should be evaluated for ejaculatory duct obstruction, and should undergo a hormonal evaluation. No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. The embryo is then placed in the uterus to begin a pregnancy.

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Benefits of laparoscopy are especially the possibility to simultaneously remove adhesions in one session. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. Management of the infertile couple: an evidence-based protocol. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Based on numerous prospective randomized controlled trials, the approach has proven to be beneficial in reducing post-operative morbidities such as wound infections and incisional hernias (especially in morbidly obese patients), and is now deemed safe when applied to surgery for cancers such as cancer of colon.[6][7] Laparoscopic instruments. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Do you have pain with menstrual periods or intercourse? Gonadotropin releasing hormone analogs (GnRH-a) are synthetic peptides whose structure is similar to the natural GnRH. Women in group III can conceive only with oocyte donation and in vitro fertilization. Furthermore, if there is a background of gynaecological or andrological issues in the couple, a study should be carried out as soon as possible. A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. By 2014, over 5 million people had been born after being conceived through IVF.