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Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. Men should undergo evaluation with a semen analysis. They're then stored inside yards of “plumbing” called the epididymis, which lies on top of each testicle. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. Endometriosis: Cells that normally occur within the lining of the uterus start growing elsewhere in the body. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973.

A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). Out of this group, the following statistics on the cause of infertility generally apply: One-third of couples will discover fertility problems in only the man.

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Infertility treatments are expensive and often not covered by insurance-this could deter lower Source : Demographic data evaluation.: fertility measures PPT Presentation Summary : COVENANT UNIVERSITY DEPT. Endometriosis can only be confirmed by surgery, usually laparoscopy. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. Also searched were the Cochrane database, the National Guideline Clearinghouse database, Dynamed, and Essential Evidence Plus.

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If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. This can happen as a result of: an infection of your testicles testicular cancer  testicular surgery a problem with your testicles you were born with (a congenital defect) when one or both testicles hasn't descended into the scrotum, the loose sac of skin that contains your testicles (undescended testicles) injury to your testicles Sterilisation Some men choose to have a vasectomy if they don't want children or any more children.  It involves cutting and sealing off the tubes that carry sperm out of your testicles (the vas deferens) so your semen will no longer contain any sperm. Adding recombinant human FSH to HCG has been shown to be effective in achieving spermatogenesis in most patients.[18] Select patients with adult-onset idiopathic hypogonadotropic hypogonadism may respond to clomiphene citrate therapy.[19] Prader-Willi syndrome Patients have characteristic obesity, mental retardation, small hands and feet, and hypogonadotropic hypogonadism due to a GnRH deficiency.

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When this happens, it causes something called a varicocele. Afterwards, fertilized eggs are placed directly into a fallopian tube (as with GIFT) and not into the uterine cavity. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. Unexplained causes of infertility and sterility Unfortunately, a basic fertility analysis cannot provide an answer for all causes of infertility and some remain unexplained. Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. Most often, the problem lies in the process of either making or moving thesperm. Intrauterine insemination 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. Ascites Petechial bleedings Weight loss Visual disorders Gait pattern in small steps 2. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. Blood work to check hormone levels, usually of FSH and testosterone, but sometimes also LH, estradiol, or prolactin. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. The couple should make sure to have sex during the three days before ovulation. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992.