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The farther from the scrotum, and the longer duration that the testicle resides outside the scrotum, the greater the likelihood of infertility. IVF involves removal of eggs directly from the ovary, fertilization with sperm in the laboratory, followed by transfer of the embryos directly into the uterus, thereby bypassing the tubes. Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. These adverse effects were reported in older women with advanced breast cancer who were given the drugs on a daily basis over several months. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). This can make it difficult for the embryo to implant.

Drugs used for both women and men[67] include clomiphene citrate, human menopausal gonadotropin (hMG), follicle-stimulating hormone (FSH), human chorionic gonadotropin (hCG), gonadotropin-releasing hormone (GnRH) analogues, aromatase inhibitors, and metformin. Kidney Transplantation in Inbred Rats. (PDF, 6 MB) The American Journal of Surgery, 1973. Classic Klinefelter syndrome has a 47, XXY karyotype and is caused by a nondisjunction during the first meiotic division, more commonly of maternal origin; mosaic forms are due to nondisjunction following fertilization. Luteal phase support. (and cryopreservation choice offered if good quality embryos are available) IVF/ICSI 37. Down-regulation: - to avoid premature LH surge and spontenous ovulation. - either GnRH agonist protocol or GnRH antagonist protocol. - always use GnRH antagonist protocol in women with high risk of OHSS. The sperm must provide the zygote with DNA, centrioles, and activation factor for the embryo to develop.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. Biopsy reveals maturation arrest or germ cell aplasia. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices.

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Causes of this kind of infertility include: Retrograde ejaculation. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. Previous sterilization treatment: In women who have chosen to have their fallopian tubes blocked, the process can be reversed, but the chances of becoming fertile again are not high. Causes of infertility include genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and excessive alcohol use (2).

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Infertility might contribute to stress, anxiety, and depression in couples trying to conceive, and treatment can be medically invasive and expensive. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. The dynamics of stress in fertile and infertile couples. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. 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. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. The follicles are suctioned and microscopically examined afterward.