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The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm. The procedure is performed 30-34 hours after the spontaneous LH surge or 36 hours after the administration of 10,000 U of hCG (human chorionic gonadotropin). [110] The sperm is delivered into the endometrial cavity using an intrauterine insemination catheter. Records of one of the primary fertility awareness signs—basal body temperature—can detect ovulation by identifying the shift in temperature which takes place after ovulation. Peritubaric adhesions can be caused by endometriosis.

But anything within a few days of that can be considered normal, as long as those cycles are consistent. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Assessment of ovarian reserve This is a very important assessment of a woman's remaining egg supply It is done with blood testing and ultrasound: Blood - day 3 FSH, LH and estradiol hormone testing and AMH hormone levels Ultrasound - assessment of ovarian volume and antral follicle counts Assessment of adequate ovulation This can be done in a variety of ways.

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Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. The lab uses this sample to measure the amount of semen and the number of sperm and to evaluate sperm shape and movement. Passive smoking has also been linked to lower fertility. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure.

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Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. Women in group III can conceive only with oocyte donation and in vitro fertilization. In the testicle, germ cells (especially up to the preleptotene stage) are especially at risk. Chromosomal defects Hereditary disorders, such as Klinefelter’s syndrome (when a male is born with two X chromosomes and one Y chromosome instead of one X and one Y) impacts the normal development of the male reproductive organs. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. Affected individuals displayed more severe forms of infertility such as azoospermia and severe oligozoospermia.[27] Other causes[edit] Factors that can cause male as well as female infertility are: DNA damage DNA damage reduces fertility in female ovocytes, as caused by smoking,[28] other xenobiotic DNA damaging agents (such as radiation or chemotherapy)[29] or accumulation of the oxidative DNA damage 8-hydroxy-deoxyguanosine[30] DNA damage reduces fertility in male sperm, as caused by oxidative DNA damage,[31] smoking,[28] other xenobiotic DNA damaging agents (such as drugs or chemotherapy)[32] or other DNA damaging agents including reactive oxygen species, fever or high testicular temperature.[33] The damaged DNA related to infertility manifests itself by the increased susceptibility to denaturation inducible by heat or acid [34] or by the presence of double-strand breaks that can be detected by the TUNEL assay.[35] General factors Diabetes mellitus,[36][37] thyroid disorders,[38] undiagnosed and untreated coeliac disease,[39][40][41][42] adrenal disease[43] Hypothalamic-pituitary factors Hyperprolactinemia Hypopituitarism The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1.