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Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. Treatment of Female Infertility: Ovulation Induction Agents The main agents used for the induction of ovulation include: Clomiphene citrate is an orally active, nonsteroidal agent structurally similar to estrogen. Do you have pain with menstrual periods or intercourse? Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014.

Cervical mucus problems impairing conception may be treated with intrauterine insemination (IUI) or uterine instillation of specially prepared sperm. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). Medicines and drugs  The side effects of some types of medicines and drugs can affect your fertility. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty.

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This sterile needle is attached to sterile suction tubing and a collecting vial. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it.

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3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Myotonic dystrophy This is an autosomal dominant defect in the dystrophin gene that causes a delay in muscle relaxation after contraction. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998.

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This elevates the abdominal wall above the internal organs to create a working and viewing space. Prader-Willi syndrome is caused by a disorder of genomic imprinting with deletions of paternally derived chromosome arm 15q11-13. The Leydig cells in the testicles control the LH, and the cells build androgens. If they're damaged, it can seriously affect the quality of your semen. It's sometimes done while you're taking meds that help trigger the release of an egg. If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. The incidence of congenital malformation in IVF babies ranges between 2% and 3% worldwide and is similar to that in babies conceived naturally [45]. Because of a defect in the dynein arms, spokes, or microtubule doublet, cilia in the respiratory tract and in sperm do not function properly. A small number of specimens have acceptable original concentrations of motile sperm but poor recoveries with the gradient system. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation.