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ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg. Legal experts said the new definition, which will be sent out to every health minister next year, may force a law change, allowing the introduction of commercial surrogacy.

If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended. B.: - GnRHa should not be offered with ovulation induction for risk of OHSS. - No evidence for the role of adjuvant growth hormones. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone). 8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility.

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Government, the Department of Defense, or the Department of the Air Force. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. In vitro fertilization[edit] IVF is the most commonly used ART.

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Treatment is with human menopausal gonadotropin (HMG) or exogenous FSH. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina.

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The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Lead, toxic fumes and exposure to pesticides are suspected contributors to infertility. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. Some physical effects may also result from treatment. The use of aromatase inhibitors for ovulation induction in premenopausal women is controversial due to the possibility of fetal toxicity and fetal malformations raised by one abstract. [172] However, 2 subsequent publications have shown no evidence of fetal malformations with the letrozole and no difference in birthweight compared with spontaneous conceptions. [173, 174] Furthermore, based on the half-life of each drug, administration in the early follicular phase should result in clearance of the aromatase inhibitors before implantation takes place. Basal body temperatures are no longer considered a reliable indicator of ovulation, and are not recommended for evaluating ovulation. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Laboratory studies have suggested that long-term acetaminophen use during pregnancy may affect fertility in males by lowering testosterone production. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity. Bromocriptine is used in cases when anovulation is caused by an elevated level of the hormone prolactin. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. There are tests that may tell if you have fertility problems. The ovulation induction agents used include clomiphene citrate, hMG, hCG, recombinant FSH, and recombinant LH.