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Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. Idiopathic Hypercalciuria. (PDF, 1 MB) New England Journal of Medicine, 1971.

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. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. 2012;27(8):2396–2404.   Want to use this article elsewhere? This results in negative feedback stimulation of the hypothalamic-pituitary axis, causing an increase release of gonadotropins and testosterone.

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After injection of the sperm, the patient remains in the recumbent position for 10-15 minutes. Once again this may increase case lengths but costs are greatly reduced (ideal for developing countries) and widespread accidents of loose clips are eliminated.[citation needed] Gynecological diagnosis[edit] In gynecology, diagnostic laparoscopy may be used to inspect the outside of the uterus, ovaries, and fallopian tubes, as, for example, in the diagnosis of female infertility. A history of pelvic infections or sexually transmitted diseases: Sexually transmitted infections, such as chlamydia or gonorrhea, can cause inflammation and permanent scarring of the fallopian tubes.

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3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998.

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Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. But a woman whose cycles vary so greatly that she can’t even begin to estimate when her period might arrive is experiencing irregular periods. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Other symptoms of endometriosis include: chronic pelvic pain (not only during menstruation) pain during sex back pain fatigue nausea irregular periods and spotting bowel problems or pain with bowel movements Dark or pale menstrual blood If menstrual blood is regularly paler than usual, this may be a cause for concern. For an appendectomy, the right shoulder can be particularly painful. Experts then assess your sperm count, their shape, movement, and other variables. “Generally, a higher number of normal-shaped sperm means higher fertility,” says Shaban. Women who have a body weight 10% to 15% below normal may have reduced fertility. Contents Types[edit] Cholecystectomy as seen through a laparoscope There are two types of laparoscope:[2] a telescopic rod lens system, usually connected to a video camera (single chip or three chip) a digital laparoscope where a miniature digital video camera is placed at the end of the laparoscope, eliminating the rod lens system The mechanism mentioned in the second type is mainly used to improve the image quality of flexible endoscopes, replacing traditional fiberscopes. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone.