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Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988.

Heterologous or therapeutic insemination, formerly called artificial insemination by donor sperm, refers to the use of frozen sperm that has been quarantined for at least 6 months. [108] Thereafter, the specimen is ready to use once the donor has undergone the necessary screening tests required by the tissue bank, the US Food and Drug Administration (FDA), and the American Society for Reproductive Medicine (ASRM). [111] The source of the sperm can be either anonymous or from a donor designated by the couple. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count.

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Grading is as follows: Grade 0 – No movement Grade 1 – Sluggish movement Grade 2 – Slow movement in a poorly defined direction Grade 3 – Slow or curved forward movement Grade 4 – Fast movement straight forward  Patients with abnormal sperm motility should be evaluated for the following: Pyospermia Antisperm antibodies Varicocele Sperm ultrastructural abnormalities Partial ductal obstruction Sperm morphology The head, acrosome, mid piece, and tail of individual spermatozoa are analyzed with phase-contrast microscopy after fixation with Papanicolaou stain. Maternal age Infertility due to age is one of the most common causes of female infertility. They are very common (approximately 40% of women have them them). Its use has been extended to assisted reproduction technologies. Hypospadias: The urethral opening is under the penis, instead of its tip.

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The impact of small or single polyps is more controversial. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Today, many patients do not receive the recommended medical care that based on the best available evidence [5].

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ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. If it stays in there, complications can develop, such as the rupture of the fallopian tube. Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. ART: Intracytoplasmic Sperm Injection (ICSI) (Continued) Once an egg is injected, it is observed for approximately 14 hours to see if fertilization has occurred (average fertilization rate is about 65%), and for 24 hours to ensure that cell division has started. Medications, treatments, and drugs Some drugs can affect fertility in a woman. Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year. We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. It does not induce ovulation, but reduces the production of prolactin by the pituitary.[20] Bromocriptine is only prescribed in cases of overproduction of prolactin (hyperprolactinemia). Varicoceles are observed more commonly on the left side than the right. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.