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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility.

ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. Source : Preserving your fertility - University of Kansas Hospital PPT Presentation Summary : Preserving your fertility. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. 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. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter.

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Radiation therapy: This can impair sperm production. Today, many patients do not receive the recommended medical care that based on the best available evidence [5].

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Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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In some cases, they may prevent a fertilised egg attaching itself to the womb, or they may block a fallopian tube. Thyroid dysfunction can halt ovulation by upsetting the balance of the body’s natural reproductive hormones. Less than 50% motility may significantly affect the ability for sperm to fertilize the egg without therapy; and (4) morphology, or shape – there are three parts of the sperm that are analyzed for morphology: the head, midpeice, and tail. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices.