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Infertility Clinic/doctor Ivf Treatment - Jilla Hospital Aurangabad Aurangabad Maharashtra
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They are usually young patients with a history of polycystic ovarian syndrome or oligo-ovulation who responded with elevated E2 levels (3000 pc/mL) and multiple follicles (>15) and patients in whom the ovulation has been triggered by the administration of exogenous hCG. [196, 197] Ovarian hyperstimulation syndrome usually has 2 phases. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection.
Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. 4 pmol/l for a low response and greater than or equal to 25.
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Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. Some causes, such as hyperprolactinemia, are reversible with proper treatment. Your doctor will determine if you are at risk of having endometriosis based on a careful history, physical exam, and ultrasound. Depending on the therapeutic agent and the duration of treatment, endometriosis can be treated with oral contraceptives, progestins, androgens, or GnRH agonists. 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.
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However, this method is not particularly accurate. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Male fertility starts declining in their thirties, while women older than 35 years may experience problems conceiving. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995.
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If this is unsuccessful, the dosage may be increased to 100 mg daily. This hormone then binds to another area of the brain called the pituitary gland and leads to the release of FSH (follicle stimulating hormone), a hormone that directly binds to cells in the ovary, leading to egg growth and maturation. It is a new opportunity, not only for partners with lack of gamets, but also for homosexuals and single people who wants to have offspring. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. Evaluation of the Female Partner: Evidence of Ovulation (Continued) Progesterone test. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. There are also a number of sperm production problems that can contribute to infertility, including: Scrotal varicose veins (varicoceles) Scrotal varicose veins (varicoceles) are swollen veins causing your testicles to get hotter and affect the production of sperm These are treated with surgery Testicular injury Serious trauma to the testicles such as becoming twisted (torsion) can affect sperm production Damage from playing sports or an accident can rupture the vessels that supply blood to the testicles Previous injuries can’t be treated, but an ART treatment may help you to conceive Undescended testicles In the uterus, baby boys’ testicles form in their abdomen and descend into their scrotum shortly before birth Some men’s testicles don’t descend before they are born (cryptorchidism), although in these cases they usually drop in the first six months after birth If left untreated, undescended testicles can affect fertility Testicular cancer This happens when a malignant tumour in the testicle destroys testicular tissue If undetected, testicular cancer can spread to other parts of the body This is treated either by surgery, medication, radiotherapy or chemotherapy However, cancer therapy can also damage sperm production Genetic defects Sometimes, genetic information on the Y chromosome (which is only present in men) is deleted (micro-deletions),6 which can reduce the production of sperm Depending on where the micro-deletion is on the chromosome, this may be treated by surgically extracting sperm from part of your reproductive tract However, some couples may need to consider using a donor sperm to conceive Mumps Contracting mumps (or mumps-related orchitis) after puberty may damage the sperm-producing cells in your testicles, causing infertility or subfertility7 Usually, only one testicle is affected and if you have one functioning testicle you may not need treatment However, some couples may need to use a sperm donor in order to conceive Anti-sperm antibodies Anti-sperm antibodies are large proteins in your blood that are hostile to sperm They can cause sperm to clump together and prevent them from swimming, or they may mistake sperm cells for an infection and try to destroy them This can be treated using an ART treatment Lifestyle Sperm production can be affected by a range of lifestyle factors, including smoking, drinking, drugs, stress, overweight and unhealthy food Environmental factors can also affect your sperm quality, including overheating of your testicles, some sexual lubricants, the chemicals involved in certain manufacturing, painting or printing jobs These factors are treated by making lifestyle changes, such as wearing loose clothing to avoid overheating Hormonal problems Hormonal problems are rarely the cause of male infertility problems However, some men have a natural deficiency in follicle-stimulating hormone (FSH) and luteinising hormone (LH), which prevents the testicles from producing testosterone or developing healthy sperm Hormonal problems can usually be treated with medication Obstruction problems Blocked sperm ducts Occasionally, male sperm ducts (epididymis and vas deferens) can become blocked, meaning that your semen doesn’t contain any sperm This can be treated with surgery, or sperm may be surgically extracted from part of your reproductive tract Vasectomy Some men have had a previous vasectomy to stop them being able to conceive This can sometimes be reversed using surgery The procedure’s success depends on how long ago your vasectomy was performed Previous infections Infections can cause scarring or adhesions (organs sticking together) in your sperm ducts This can usually be treated with surgery Does age affect male fertility? IVF is Generally Performed in the Following Manner: The woman undergoes gonadotropin injections, which stimulate the ovaries to produce many eggs. If this is unsuccessful, the dosage may be increased to 100 mg daily. The severity usually depends on how near to the testicles the radiation was aimed. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. These include reduced pain due to smaller incisions, reduced hemorrhaging and shorter recovery time. Immediate surgery is needed and, sadly, the tube on that side will be lost.
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