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Chemotherapy: Some types may significantly reduce sperm count. These and many other questions will help your physician design a specific evaluation and potential treatment for you. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. To verify azoospermia, the semen should be centrifuged and evaluated under a light microscope for the presence of sperm. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). Is there a way to increase a couple’s chance of getting pregnant?

If you and your partner agree, extra embryos can be frozen and saved to use later. They may go unnoticed until a man tries to have a baby.

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The embryo is then placed in the uterus to begin a pregnancy. Spermatid Conception. (PDF, 1 MB) Human Reproduction, 1998. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999.

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Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Other conditions that affect the quality and quantity of sperm include: Primary testicular failure. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). 8 A high serum FSH level (greater than 30 to 40 mIU per mL [30 to 40 IU per L]) with a low estradiol level can distinguish ovarian failure from hypothalamic pituitary failure, which typically reveals a low or normal FSH level (less than 10 mIU per mL [10 IU per L]) and a low estradiol level. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH.

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Ideally, using strict morphology criteria, a minimum of 5 – 15% normal forms leads to a better ability for sperm to fertilize the egg. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. Because cortisol is not secreted, a lack of feedback inhibition on the pituitary gland occurs, leading to adrenocorticotropic hormone (ACTH) hypersecretion. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. This leads to the final maturation and release of the egg. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. The embryos are placed within the tip of the transfer catheter and then injected within the uterine cavity once the catheter is placed through the cervical canal to the ideal spot within the uterus. When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.