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In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). These abnormalities can also cause irregular bleeding between menstrual cycles.

Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. There are some common risk factors that can increase the likelihood of a man experiencing some form of reversible or permanent infertility. Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. 1 Infertility is medically defined as the inability to conceive after 12 months of unprotected sex.

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18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). ICSI can be performed when sperm counts are extremely low or abnormal.

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Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Chronic conditions: These include AIDS or cancer.

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Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous. It also shows if there are any abnormalities in the uterine cavity, such as polyps or submucous fibroids; or abnormalities of the tubes, such as evidence of salpingitis. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. If a person is experiencing other symptoms, they may wish to speak to a doctor. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. A doctor injects sperm directly into the egg in a dish and then places it into your uterus. For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Human menopausal gonadotropins Crowe discovered that the gonads were under the control of the anterior hypophysis. [175] Zondek and Aschheim discovered that FSH and LH were responsible for the development of the gonads in immature animals and confirmed Crowe's work. [135, 136] In the 1930s, ovulation induction was attempted by using gonadotropins from a mare, but its use was discontinued because of the development of antibodies. [176, 177] Borth et al demonstrated the effect of FSH and LH extracted from menopausal urine. [178, 179] Gemzell reported the first ovulation induction using human pituitary gonadotropin in 1958, and the first pregnancy was reported in 1960. [180, 181] Lunenfeld reported preliminary results using hMG; however, in 1963, it was definitely established as a real ovulation induction agent. [182, 183, 184] Human menopausal gonadotropin (hMG [eg, Repronex, Menopur]) contains 75 U of FSH and 75 U of LH per mL, although the concentration may vary among batches (ranges from FSH at 60-90 U and LH at 60-120 U). Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007.