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Illegal drugs: Some women who use marijuana or cocaine may have fertility problems. An ovarian insufficiency can also occur from the decreased release of gonadotropins.

ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. 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. Hypogonadotropic Hypopituitarism: Low pituitary gland output of LH and FSH.  This condition arrests sperm development and causes the progressive loss of germ cells from the testes and causes the seminiferous tubules and Leydig (testosterone producing) cells to deteriorate.  May be treated with the drug Serophene.  However, if all germ cells are destroyed before treatment commences, the male may be permanently infertile.

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Men should undergo evaluation with a semen analysis. Causes of male infertility include Physical problems with the testicles Blockages in the ducts that carry sperm Hormone problems A history of high fevers or mumps Genetic disorders Lifestyle or environmental factors About a third of the time, infertility is because of a problem with the man. Exercise: Both too much and too little exercise can lead to fertility problems.

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With laparoscopy providing tissue diagnosis, and helping to achieve the final diagnosis without any significant complication and less operative time, it can be safely concluded that diagnostic laparoscopy is a safe, quick, and effective adjunct to non‑surgical diagnostic modalities, for establishing a conclusive diagnosis, but whether it will replace imaging studies as a primary modality for diagnosis needs more evidence.[34] History[edit] Hans Christian Jacobaeus It is difficult to credit one individual with the pioneering of the laparoscopic approach. 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. It stimulates the ovaries to mature egg follicles. 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. Which drug can be used for induction of ovulation?

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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. Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Couples who do not conceive after treatment for six cycles with documented ovulation should also consider referral to an infertility specialist. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. Overweight or obesity: This may reduce the chance of conceiving.