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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Adverse effects of metformin include GI intolerance, nausea, vomiting, and abdominal cramps. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older.

El Uso de las Espermátides en la Azoospermia. (PDF, 12 MB) Chapter 42 from Reproducción Humana, 2002. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions.

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Excess alcohol consumption: This may lower male fertility. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Men can still ejaculate with a low sperm count or poor-quality sperm. A specimen is collected by masturbation into a clean, dry, sterile container or during coitus using special condoms (containing no spermicidal lubricants). Checking testosterone levels is advisable because an elevation above the reference range has a negative feedback effect on sperm production.

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Bhaskar Dutta/Photoshare Clinical definitions Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”… (WHO-ICMART glossary1). “Infertility is the inability of a sexually active, non-contracepting couple to achieve pregnancy in one year. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. 9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. The lab uses this sample to measure the amount of semen and the number of sperm and to evaluate sperm shape and movement. Ovary Transplantation for Fertility Preservation in Cancer Patients: Fresh and Frozen. (PDF, 1 MB) Chapter 42 from textbook Clinial Infertility, 2010.

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For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. A urinary LH kit is a practical way to monitor these patients. Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. ART techniques generally start with stimulating the ovaries to increase egg production. Normal Fertilization of Human Oocytes after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection.(PDF, 2 MB) Fertility and Sterility, 1994. Some respond by actively avoiding the issue altogether; middle-class men are the most likely to respond in this way.[21] In the United States some treatments for infertility, including diagnostic tests, surgery and therapy for depression, can qualify one for Family and Medical Leave Act leave. The reduced release of gonadotropin is often triggered by stress, physical strain such as high-performance sports, and anorexia nervosa. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price.