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Hyperprolactinemia: If prolactin levels are high, and the woman is not pregnant or breastfeeding, it may affect ovulation and fertility. Causes of Sterility in Women In women, the classification of possible causes is much more complex.

Assisted conception The following methods are currently available for assisted conception. Some methods may be used in concert with other methods. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. It is important to tell a doctor if excessive mental and emotional stress develop. It is important to tell a doctor if excessive mental and emotional stress develop. Success rates with IVF procedure are approximately 20% per egg retrieval (approximately 20 couples out of every 100 who try one retrieval with IVF are likely to achieve pregnancy and delivery).

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ICSI can be performed when sperm counts are extremely low or abnormal. The eggs may never be released or they may only be released in some cycles.

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The obtained oocytes are released from their follicles and adhesive granulocytes are removed with an enzyme, and then the injection of seminal filaments is made with a glass pipette. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. A spermiogram control study is performed after 3 cycles of therapy. High Fertilization and Pregnancy Rate after Intracytoplasmic Sperm Injection with Spermatozoa Obtained from Testicle Biopsy. (PDF, 3 MB) Human Reproduction, 1995. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples.

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The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. If the correction is not done, it may be harder for the sperm to get to the female's cervix. In-vitro fertilization and donor insemination are major procedures involved. Drawbacks of ICSI include unknown risks to the egg or embryo and damage to the embryo. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.