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Trauma Testicular trauma is the second most common acquired cause of infertility. This prevents the sperm from fertilizing the egg. IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated.

Medical management: - Ovarian suppression of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair. However, nowadays, spermatozoa can be extracted by means of a testicular puncture.

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2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.

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Infertility in Men Below you will find a list of some of the most common causes of infertility in men. Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed.

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Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. However, given that fertility in women is known to decline steadily with age, some providers evaluate and treat women aged ≥35 years after 6 months of intercourse without the use of contraception (1). Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001.