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Extra Renal Function in Patients with Duplication Anomaly: Obligatory and Compensatory Renal Growth. (PDF, 1 MB) The Journal of Urology, 1974. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. It is important to tell a doctor if excessive mental and emotional stress develop. A low testosterone level with a low FSH level signals a secondary cause.

According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments. Fertility may improve after adopting a gluten-free diet.Infertility: Introduction Infertility is a significant social and medical problem affecting couples worldwide. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Small, firm testicles The testes house a man’s sperm, so testicle health is paramount to male fertility.

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Fertility: assessment and treatment for people with fertility problems. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. Ejaculation disorders: If the ejaculatory ducts are blocked, semen may be ejaculated into the bladder Hormonal imbalance: Hypogonadism, for example, can lead to a testosterone deficiency. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41].

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Most problems are related to premature labor and pregnancy loss. Septate uterus The hypothesis that a uterine septum can cause infertility is controversial. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P.

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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. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. It can also help if a man has severe erectile dysfunction. Round Spermatid Injection. (PDF, 422 KB) Fertility and Sterility, 2000. It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved. The chance of a multiple birth is lower with an oral fertility drug. Health problems such as mumps or hormone problems. Showell MG, Brown J, Yazdani A, Stankiewicz MT, Hart RJ. A relationship also exists between obesity and erectile dysfunction (ED).