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7 million women reported impaired ability to get pregnant or carry a baby to term. In fact, female age-related infertility is the most common cause of infertility today. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. Once eggs and sperm are collected, the actual process of injecting a single sperm into the egg is carried out in a laboratory using a petri dish or a glass slide with a well in the center. Determination of serum E2 and LH levels can also be performed. [203] Treatment of Primary Amenorrhea hMG is the treatment of choice for patients with primary amenorrhea due to hypopituitarism. 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.

As the duration of treatment prolonged, psychological suffering is likely to increase [6]. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Fresh Ovarian Tissue and Whole Ovary Transplantation. (PDF, 373 KB) Seminars in Reproductive Medicine, 2009.

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If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. Continued For some men, no male infertility treatments seem to help.

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Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. Fallopian tubes that are patent and will function to permit the sperm and ovum to meet and allow migration of the conceptus to the uterus.

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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. When the big veins heat the testes too much, the heat damages the sperm. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. Done as part of an IVF treatment, ICSI involves injecting a single sperm into an egg. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979.