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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Aromatase inhibitors Aromatase inhibitors (letrozole, anastrozole) inhibit the action of the enzyme aromatase, which converts androgens into estrogens by a process called aromatization. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins.

Theoretically, with this therapy, we can get artificial gamets in vitro. Couples may decide to go ahead regardless if the desire to become pregnant is very strong. These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Artificial Insemination In this process, male sperm is introduced into the female genital tract in order to achieve fertilization.

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European Association of Urology guidelines on male infertility: the 2012 update. Further reading[edit] Fertility: Assessment and Treatment for People with Fertility Problems. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. This leads to the final maturation and release of the egg. He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality.

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Biopsy reveals maturation arrest or germ cell aplasia. This indicates whether the fallopian tubes are open or blocked.

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4 IU per L]) can help differentiate between primary and secondary disorders. Trauma Testicular trauma is the second most common acquired cause of infertility. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. Treatment of Tubal and Peritoneal Factors The treatment of tubal-factor infertility underwent major changes, especially during the last quarter of the century when microsurgery became available. [126, 127] Tubal reconstruction was the only hope for those patients before assisted reproductive therapy became available. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. That is why a complete build-up of the endometrial mucosa is not possible anymore. But the question that should be answered one day is: will the output quality be compromised with such approach? These endometrial cells can extend as far as the outside of the fallopian tubes, the ovaries and the bladder. Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion. However, these tests have only poor to moderate predictive value despite widespread use. The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Symptoms include: bloating constipation dark urine diarrhea nausea abdominal pain vomiting They are usually mild and easy to treat.