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8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. CASA measures the following parameters: Curvilinear velocity – The average distance per unit time between successive sperm positions) Straight-line velocity – The speed of forward direction Linearity – The straight-line velocity divided by the curvilinear velocity In addition, the program measures the average path velocity, the amplitude of lateral head displacement, and the flagellar beat frequency, and it is used to evaluate for evidence of hyperactivation. Some of the features include: Visual magnification — use of a large viewing screen improves visibility Stabilization — Electromechanical damping of vibrations, due to machinery or shaky human hands Simulators — use of specialized virtual reality training tools to improve physicians' proficiency in surgery [33] Reduced number of incisions There has been a distinct lack of disclosure regarding nano-scale developments in keyhole surgery and remote medicine, a "disparity of disclosure" which does not correlate with the rapid advancements in both the medical and nanotechnology fields over the last two decades.[citation needed] Robotic surgery has been touted as a solution to underdeveloped nations, whereby a single central hospital can operate several remote machines at distant locations. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. Steroids used to build muscles can shrink the testes and may lead to decreased sperm production.

According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. 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. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes.

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Studies have shown that psychological issues contribute to reducing the sperm quality. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility. European Association of Urology guidelines on male infertility: the 2012 update. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010.

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View Media Gallery Seminiferous tubules are made up of Sertoli cells and germ cells and are surrounded by peritubular and myoid cells. These problems with sperm can cause male infertility.

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Radiation therapy While Leydig cells are relatively radioresistant because of their low rate of cell division, the Sertoli and germ cells are extremely radiosensitive. European Association of Urology guidelines on male infertility: the 2012 update. Low sperm mobility (motility): The sperm cannot "swim" as well as they should to reach the egg. This test is usually performed in a radiology facility About 25% of all infertility is due to a tubal factor Laparoscopy This is a surgical procedure and should not be performed until the basic testing has been done on both partners. View Media Gallery Seminiferous tubules are made up of Sertoli cells and germ cells and are surrounded by peritubular and myoid cells. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Unlike female infertility (where irregular periods may hint at a problem), obvious symptoms are not common with male infertility. 38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. An extensive work-up showed Steve was born without the vas deferens, the main sperm pipelines from the testicles. In some cases, simply removing the polyp solves infertility.