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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Low weight: Obesity is not the only way in which weight can impact fertility.

Cervical factors are also thought to play a minor role, although they are rarely the sole cause. To complete a basal temperature curve over 3 cycles can be helpful to identify anovulational cycles.

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In general, ART involves surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body. Gonadotropins can trigger ovulation when Clomid or Serophene don't work. This procedure can, in selected cases, also be performed laparoscopically, often with the assistance of a robot.Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning 'flank, side', and σκοπέω (skopeo), meaning 'to see') invented by George Kelling in 1901, in Germany, is an operation performed in the abdomen or pelvis using small incisions (usually 0. Varicoceles are repaired with surgery to block off the abnormal veins.

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For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. For this reason, it is less likely to adversely affect the endometrium and cervical mucus. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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In patients with low gonadotropins and low estrogen, the treatment of choice is hMG, and the protocol is similar to that for patients with primary amenorrhea. Pulsatile GnRH and HCG have been used but result in only 20% achieving complete spermatogenesis. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. Additionally, the sperm may be unable to cross the cervical mucus or may have ultrastructural abnormalities. Human male infertility, the Y chromosome, and dinosaur extinction. (PDF, 1 MB) Middle East Fertility Society Journal, January 18, 2011.Fertility Articles – PDF Archive | Infertility Center If you have any questions, you may call us at  (314) 576-1400. Immediate surgery is needed and, sadly, the tube on that side will be lost. Chemotherapy: Some types may significantly reduce sperm count. A woman of reproductive age who is using artificial insemination to conceive (with either partner or donor sperm) after 6 failed trials. Consider earlier referral to infertility specialists where: - the woman is aged 36 years or over. - there is a known clinical cause of infertility or a history of predisposing factors for infertility. - treatment is planned that may result in infertility (such as treatment for cancer). - People who are concerned about their fertility and who are known to have chronic viral infections such as hepatitis B, hepatitis C or HIV. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Twelve months is the lower reference limit for Time to Pregnancy (TTP) by the World Health Organization.[7] a woman over 35 has not conceived after six months of contraceptive-free sexual intercourse.