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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. 75 mg intramuscularly every 4 weeks for a period of up to 6 months. [117, 120, 121, 122] Disadvantages of this treatment include symptoms of menopause, osteoporosis, and recurrence of the myomas after discontinuation of the treatment.

Consequently, the patient with PCOS becomes responsive to CC ovulation induction. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop. A detailed history and physical examination is necessary for both partners. National Collaborating Centre for Women's and Children's Health. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Serum LH determination is more precise, especially when performed in combination with pelvic ultrasonography. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Choose a single article, issue, or full-access subscription.

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Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999. Sperm are then collected, washed, and added to the eggs in the dish. Factors effecting normal expectancy of conception. Passive smoking has also been linked to lower fertility. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. Gonadotrophins for idiopathic male factor subfertility.

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Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Male and female factors can exist in isolation or combination and fertility investigations, diagnoses and treatment should always be considered in the context of the couple.       Male factor Sperm problems will contribute to about 40% of infertility cases. Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma.