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Unlike IVF, in which actual fertilization is observed and confirmed in the laboratory, GIFT does not allow visual confirmation of fertilization. Only active, undamaged sperm are chosen for injections.

If a woman gets her period every 28 days, ovulation happens about 14 days after she starts her period. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Disorders of sexual differentiation result in infertility (eg, hermaphroditism, pseudohermaphroditism).

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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. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow.

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The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6]. Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI.

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Understanding what defines normal fertility is crucial to helping a person, or couple, know when it is time to seek help. Ultrasound can help us discover abnormalities with the uterus, fallopian tubes and/or ovaries. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Endometriosis is common in women with infertility.. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Prolactin stimulates milk production during breastfeeding. 8 Counseling on lifestyle modifications is reasonable because exposures to tobacco and alcohol are associated with lower rates of fertility. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Effect of male age on fertility: evidence for the decline in male fertility with increasing age.