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In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. 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.

Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. 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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Supplementation with acetyl L carnitine and antioxidants such as Vitamins C or E are encouraged to enhance sperm maturation and function. Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. In a third of cases, the reason lies only with the man; in another third, it is because of the woman; and in the rest of the cases, it is a combination of both, or the cause is unknown. Ultrasound can detect uterine abnormalities such as fibroids and polyps, distal fallopian tube occlusion, and ovarian abnormalities including ovarian cysts.

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Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.

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Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. The main side effects are hot flushes, gastrointestinal events (nausea and vomiting), headache, back pain, and leg cramps. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Prior to its conception, laparoscopy was a surgical approach with very few applications, mainly for purposes of diagnosis and performance of simple procedures in gynecologic applications.[citation needed] The first publication on modern diagnostic laparoscopy by Raoul Palmer appeared in 1947,[36] followed by the publication of Hans Frangenheim and Kurt Semm, who both practised CO 2 hysteroscopy from the mid-1970s.[37] In 1972, Clarke invented, published, patented, presented, and recorded on film laparoscopic surgery, with instruments marketed by the Ven Instrument Company of Buffalo, New York.[38] In 1975, Tarasconi, from the Department of Ob-Gyn of the University of Passo Fundo Medical School (Passo Fundo, RS, Brazil), started his experience with organ resection by laparoscopy (Salpingectomy), first reported in the Third AAGL Meeting, Hyatt Regency Atlanta, November 1976 and later published in The Journal of Reproductive Medicine in 1981.[39] This laparoscopic surgical procedure was the first laparoscopic organ resection reported in medical literature. Other factors that can affect a woman's chances of conceiving include being overweight or underweight,[56] or her age as female fertility declines after the age of 30.[57] Sometimes it can be a combination of factors, and sometimes a clear cause is never established. Women who have a body weight 10% to 15% below normal may have reduced fertility. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. In a move that dramatically changes the definition of infertility, the WHO will declare that it should no longer be regarded as simply a medical condition. About 10% of reproductive age women are affected by endometriosis. The ovaries can stop working in about 5% of cases.