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Microscopic Vasectomy Reversal. (PDF, 31 MB) Fertility and Sterility, 1977. However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). A systematic review of tests predicting ovarian reserve and IVF outcome. American Urological Association Education and Research, Inc. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. If a severe sperm defect is discovered, the testing on the female partner should be modified, and therapy can be immediately directed to the sperm problem.

For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. In some cases, simply removing the polyp solves infertility. If the fallopian tubes are beyond repair, bilateral salpingectomy with destruction of the cornual area is recommended in preparation for IVF.

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Furthermore, an immunological cause in the cervical mucus is possible. Only an additional 7% of couples will conceive in the second year. Each country has its own body or bodies responsible for the inspection and licensing of fertility treatment under the EU Tissues and Cells directive [78] Regulatory bodies are also found in Canada [79] and in the state of Victoria in Australia [80] See also[edit] [edit] Inhorn MC (2003). "Global infertility and the globalization of new reproductive technologies: illustrations from Egypt".

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There are many disorders that may impact the ability for a woman to ovulate normally. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. Most typical are decreased libido, erectile dysfunction, orgasmic dysfunction, and ejaculatory dysfunction.

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Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. Often, varicoceles or past infections such as mumps orchitis are the cause of sterility. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988.