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These numbers are comparable to those of other industrialized nations. Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. 50% are female causes with 25% being due to anovulation and 25% tubal problems/other.[74] In Sweden, approximately 10% of couples wanting children are infertile.[75] In approximately one third of these cases the man is the factor, in one third the woman is the factor, and in the remaining third the infertility is a product of factors on both parts. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. Men should undergo evaluation with a semen analysis.

Small calculi may block the ejaculatory ducts, or prostatic cysts may extrinsically block the ducts. This prevents the sperm from fertilizing the egg.

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IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to.

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Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process.

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Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. Syndromes such as Klinefelter’s syndrome, cystic fibrosis, Kallmann’s syndrome, and Kartagener’s syndrome. The length of postoperative stay in the hospital is minimal, and same-day discharges are possible in cases of early morning procedures. However, it could be the future for the treatment of multiple diseases, including infertility. Diagnosis is based on history, physical examination, biochemical evaluation, ultrasonography, and laparotomy. Fluctuations in hormone levels can cause: unexplained weight gain severe acne cold feet and hands reduced sex drive or loss of sexual desire nipple discharge facial hair in females thinning hair on the top of the head Underlying medical conditions Other contributing factors that may affect fertility in women include: damage to the fallopian tubes or ovaries premature menopause PCOS endometriosis cancer and cancer treatments Obesity A 2018 study found that obesity might negatively affect reproductive health. A hypothalamic-hypophyseal ovarian failure can lead to a reduced GnRH production, which, in turn, leads to an insufficient release of LH and FSH. A varicocele is like a varicose vein that can appear in the leg. The Most Common Causes of Male Sterility There are several causes of male sterility, including: Abnormal sperm production Impaired delivery of sperm Testosterone deficiency Genetic defects Undescended testes Also, erectile dysfunction or low libido can make the process of procreation that much more difficult. Only an additional 7% of couples will conceive in the second year. Clinical Characterization of 42 Oligospermic or Azoospermic Men with Microdeletion of the AZFc Region of the Y Chromosome, and of 18 Children Conceived via ICSI. (PDF, 606 KB) Human Reproduction, 2002.