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Normal cervical mucus to allow passage of the sperm to the upper genital tract. The abdomen is usually insufflated with carbon dioxide gas. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Treatment of the cause: 24. Ovulation disorders: (Group I) - Weight gain if BMI less than 19. - pulsatile administration of gonadotrophin-releasing hormone or gonadotrophins with luteinising hormone activity to induce ovulation.

Medical management: - Men with hypogonadotrophic hypogonadism should be offered gonadotrophin drugs. - Men with idiopathic semen abnormalities should not be offered anti-oestrogens, gonadotrophins, androgens, bromocriptine or kinin-enhancing drugs. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. About 10% of reproductive age women are affected by endometriosis. Management of the infertile couple: an evidence-based protocol. To Transplant or Not to Transplant – That Is the Question. (PDF, 3 MB) 2010. The views expressed in this material are those of the authors, and do not reflect the official policy or position of the U.

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17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Conventional In-vitro Fertilization vs Intracytoplasmic Sperm Injection for Patients Requiring Microsurgical Sperm Aspiration. (PDF, 3 MB) Human Reproduction, 1994. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. For conception, sperm must reach the cervix, penetrate the cervical mucus, migrate up the uterus to the fallopian tube, undergo capacitation and the acrosome reaction to digest the zona pellucida of the oocyte, attach to the inner membrane, and release its genetic contents within the egg.

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Types of Infertility There are two types of infertility: primary and secondary. In terms of deliveries per egg retrieval, GIFT has a higher success rate than IVF regardless of the woman’s age – approximately 28%.

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It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. Diagnostic evaluation of the infertile female: a committee opinion. Up to 25% of infertile men have idiopathic infertility. When this happens, it causes something called a varicocele. The drugs are indicated for diseases like corpus luteum insufficiency, anovulational cycles, and normogonadotropic amenorrhea. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist. Medicines are usually given to the woman first to increase the number of eggs she releases.