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Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Further investigations Investigation of suspected tubal and uterine abnormalities: 1. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function. It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube.

But the question that should be answered one day is: will the output quality be compromised with such approach? Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors.

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Congenital Adrenal Hyperplasia: Occurs when the pituitary is suppressed by increased levels of adrenal androgens.  Symptoms include low sperm count, an increased number of immature sperm cells, and low sperm cell motility.  Is treated with cortisone replacement therapy.  This condition is found in only 1 percent of infertile men. Normal uterine implantation can therefore not occur. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977.

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The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.

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Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). The epididymis additionally secretes substances for sperm nutrition and protection such as glycerophosphorylcholine, carnitine, and sialic acid. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now). It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Psychic causes are possible in women just like they are in men. Surgical procedures for women If the fallopian tubes are blocked or scarred, surgical repair may make it easier for eggs to pass through. In many instances, more than one hysteroscopy is required for total resection. In 1901, Georg Kelling of Dresden, Germany, performed the first laparoscopic procedure in dogs, and, in 1910, Hans Christian Jacobaeus of Sweden performed the first laparoscopic operation in humans.[35] In the ensuing several decades, numerous individuals refined and popularized the approach further for laparoscopy. It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians.