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Obesity and increased risk for oligozoospermia and azoospermia. Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, the presence of other infertility factors present in the couple and other reasons. In cases of poor sperm quality, intrauterine insemination can be performed.

Laparoscopy with hydrotubation - if the clinical situation suggests this is required . 5°F above the basal level) induced by the early secretion of progesterone. Restrict the treatment to 4 ovulatory cycles because 85% of patients conceive by the fourth ovulatory cycle. [204] If pregnancy is not achieved, further evaluation is required to exclude other factors that may be associated with infertility and may interfere with the success of CC therapy. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection.

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These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. However, it could be the future for the treatment of multiple diseases, including infertility.

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Fertilizing Capacity of Epididymal and Testicular Sperm using Intracytoplasmic Sperm Injection (ICSI). (PDF, 7 MB)Reproduction, Fertility and Development, 1995. Ectopic pregnancy This is when a fertilized egg implants outside the womb, usually in a fallopian tube. Sperm are then collected, washed, and added to the eggs in the dish. 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.

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Under current NHS policies, fertility treatment is only funded for those proven infertile, and those where fertility is unexplained but attempts at conception have failed. Reducing the risk of multiple pregnancies Injectable fertility drugs can sometimes result in multiple births, for example, twins or triplets. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur. It stimulates the ovaries to mature egg follicles. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Hypothyroidism: Low thyroid hormone levels--can cause poor semen quality, poor testicular function and may disturb libido.  May be caused by a diet high in iodine.  Reducing iodine intake or beginning thyroid hormone replacement therapy can elevate sperm count.  This condition is found in only 1 percent of infertile men. Regression of Metastases after Nephrectomy for Renal Cell Carcinoma. (PDF, 1 MB) British Journal of Urology, 1975.