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Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. This technique involves an injection of a single healthy sperm directly injected into mature egg. The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews.

A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus. The majority of men with varicocele present no symptoms.

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Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. A history of sexually transmitted infections could be another cause of infertility in either partner. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002.

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Examples of such health issues include infections, endometriosis, and fibroids. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Psychic causes are possible in women just like they are in men. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995.

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With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Known uterine fibroids or endometrial polyps: Uterine abnormalities, such as fibroids that indent the endometrial cavity and endometrial polyps, can impair how the endometrium (the lining of the uterus) and embryo interact to lower implantation and pregnancy rates. 7 million women reported impaired ability to get pregnant or carry a baby to term. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. Factors Affecting Fertility (Continued) Various toxic agents, smoking and alcohol may contribute to fertility problems. Diverse Spermatogenic Defects in Humans Caused by Y Chromosome Deletions Encompassing a Novel RNA-binding Protein Gene. (PDF, 2 MB) Human Reproduction, 1996.