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Some couples experience pressure from society, parents and family, who expect that they wish to have children. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Causes of this kind of infertility include: Retrograde ejaculation. Other causes may include: Genetic factors: A man should have an X and Y chromosome. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe.

In vitro fertilization (IVF). In this technique, your doctor places into your uterus that were fertilized in a dish. Sperm count often returns to normal after stopping the medication. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.

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Spermiogenic defects may also be a cause of sterility. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Not long after, the United States delivered its first IVF baby, and the use of IVF has grown dramatically. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists.

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We get information regarding the woman's potential for adequate ovarian stimulation with medications by counting antral follicles. In ZIFT, your doctor places the fertilized eggs -- at this stage called zygotes -- into your fallopian tubes within 24 hours. 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. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Causes Potential causes of male infertility are: The complete absence of sperm (azoospermia) Low sperm count (oligospermia) Abnormal sperm shape (teratozoospermia) Problems with sperm movement (asthenozoospermia) Sperm that is completely immobile (necrozoospermia); the sperm may be alive and not moving, or they may be dead Problems with sperm delivery, due to sexual dysfunction, an obstruction, previous vasectomy, or retrograde ejaculation Problems with erections or other sexual problems There are a variety of conditions that may lead to male infertility. If oligospermia or azoospermia is noted, hypogonadism should be suspected. A small ejaculate volume may be observed in patients with retrograde ejaculation, absence of the vas deferens or seminal vesicles, ductal obstruction, hypogonadotropism, or poor sympathetic response. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis. The Avon Longitudinal Study of Pregnancy and Childhood Study Team. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. 25 mg Lupron Depot IM q3mo for up to 6 months) Nafarelin acetate (eg, Synarel 400 mcg intranasal qd; not to exceed 6 months) Goserelin acetate (eg, Zoladex 3. It makes the pituitary gland release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH).