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ICSI offers a high pregnancy rate and 70—80 % of eggs are fertilized through this technique. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010.

Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women. Some women have bilateral tubal occlusion, which is when both tubes are blocked.

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The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate. 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. Treatment of Endometriosis Endometriosis treatment may be divided according to the severity of the disease and patient needs.

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It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. Diagnostic evaluation of the infertile female: a committee opinion. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg.

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Management of ejaculatory failure: - Can be of great value as in retrograde ejaculation. The doctor may ask about the couple's sexual habits and make recommendations regarding these. Sperm motility Motility is described as the percent of sperm present with flagellar motion viewed on a bright-field or phase-contrast microscope. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Sermondade N, Faure C, Fezeu L, Lévy R, Czernichow S; Obesity-Fertility Collaborative Group. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple.