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The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Semen is the milky fluid that a man's penis releases during orgasm. Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. About 25% of all infertility is caused by an ovulation disorder. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous.

WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. At this point, pouring the semen drop by drop should be possible. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Effectiveness of the postcoital test: randomised controlled trial. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.

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Histologically, Leydig cells are polygonal with eosinophilic cytoplasm. This prevents the sperm from fertilizing the egg. Endometrial polyps Endometrial polyps are growths found in the uterine cavity. The avascular nature of the septum is theorized to interfere with implantation and maintenance of the embryo. However, a complete blockage of the ovaries is rarely a cause of infertility.

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Intracytoplasmic sperm injection is a process by which semen is washed and prepared for direct injection of one sperm into each egg collected during the IVF process. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes.

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Treatment The cost of infertility treatment is high [34]. If the woman is over the age of 35 years old, she may be infertile if she has not become pregnant after 6 months of trying. Surgeons who choose this hand-assist technique feel it reduces operative time significantly versus the straight laparoscopic approach. They’ll recommend some simple fertility tests, more information about which can be found here. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment. Hysteroscopy can also be combined with laparoscopy when necessary. Use of clomiphene citrate in infertile women: a committee opinion. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI).