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Signs of infertility include irregular, excessively heavy, or absent periods as well as sudden weight gain, painful sex, or vaginal infections. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination.

Overweight or obesity: This may reduce the chance of conceiving. Hypothalamic-pituitary-gonadal axis stimulatory and inhibitory signals. Measures the LH in urine to detect if and when ovulation has occurred. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Gonadotrophins for idiopathic male factor subfertility. The relation between daily activities and scrotal temperature.

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6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility.

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Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Once a follicle containing an egg reaches a mature size, another hormone injection called HCG is often given to mimic the natural LH surge that occurs at the time of ovulation. Usually, one incision is placed near the navel and a second near the pubic hairline. Leydig cell function is impaired, and most patients are infertile due to primary testicular failure. National Collaborating Centre for Women's and Children's Health. Ovarian Transplantation between Monozygotic Twins Discordant for Premature Ovarian Failure. (PDF, 315 KB) The New England Journal of Medicine, 2005. Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. In vitro fertilization[edit] IVF is the most commonly used ART. The night before the procedure, the patient must take 2 tablespoons of sodium bicarbonate.