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Gas tends to rise, and when a pocket of CO2 rises in the abdomen, it pushes against the diaphragm (the muscle that separates the abdominal from the thoracic cavities and facilitates breathing), and can exert pressure on the phrenic nerve. Infant Source : Fertility And Family Fembryo PPT Presentation Summary : FERTILITY AND FAMILY. Thus it is essential to evaluate both the man and the woman. 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. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count.

Smoking during pregnancy increases the chance of pregnancy loss. While BBT is an inexpensive way to monitor ovulation, it is often impractical. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Male infertility tests: Going under the microscope Identifying the cause of a man's infertility is as much an art as a science. “The first step is an evaluation by a physician specializing in male infertility,” says Stephen Shaban, MD, a urologist specializing in male reproductive medicine and microsurgery in Raleigh, North Carolina.

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Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. Congenital disorders and chryptorchidism (undescended testicles).

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Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Asthenozoospermia refers to reduced sperm motility. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you.

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Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. A decreased testosterone level with an increased FSH level points to primary hypogonadism. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6].