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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The eggs may never be released or they may only be released in some cycles. In fact, female age-related infertility is the most common cause of infertility today. Patients are at increased risk of infertility, even if the testicle is brought down into the scrotum, as the testicle itself may be inherently abnormal.

Metformin (Glucophage): If Clomifene is not effective, metformin may help women with PCOS, especially when linked to insulin resistance. Meticulous hemostasis is imperative. [131, 132, 133] Operative laparoscopy was reintroduced into the surgical armamentarium in the 1950s; however, in the 1970s, Semm developed different procedures and operative instruments that currently allow for the outpatient laparoscopic surgical treatment of multiple tuboperitoneal pathologies, [91] electrocautery, endocoagulation, lasers, and ultrasonography scalpels facilitate the performance of operations that otherwise used to require a laparotomy. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4). ART: In Vitro Fertilization In Vitro Fertilization (IVF) is a procedure that involves retrieving eggs and sperm from the female and male partners and placing them together in a laboratory dish to enhance fertilization.

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Group I: hypothalamic pituitary failure (hypothalamic amenorrhoea or hypogonadotrophic hypogonadism). In-vitro fertilization and donor insemination are major procedures involved. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering.

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Three modalities are used to treat myomas: medical treatment, surgical treatment, and embolization. Treatment of the cause: 24. Ovulation disorders: (Group I) - Weight gain if BMI less than 19. - pulsatile administration of gonadotrophin-releasing hormone or gonadotrophins with luteinising hormone activity to induce ovulation. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. Outside pregnancy and lactation, women with high levels of prolactin may have irregular ovulation cycles and fertility problems. Varicoceles are generally asymptomatic, and most men with varicoceles do not have infertility or testicular atrophy.

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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. Fertility Evaluation of the Male Partner: Other Tests Other tests for men include: Urine analysis to rule out an infection. Therefore, it is particularly important to evaluate both partners when investigating infertility. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). In many cases, there are tests that can help find the cause(s) of male infertility. Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. The severity usually depends on how near to the testicles the radiation was aimed. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. Infertility tests for women A woman will undergo a general physical examination, and the doctor will ask about her medical history, medications, menstruation cycle, and sexual habits. 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. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8).