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Normal Pregnancies Resulting from Testicular Sperm Extraction and Intracytoplasmic Sperm Injection for Azoospermia Due to Maturation Arrest. (PDF, 6 MB) Fertility and Sterility, 1996. Infertility is caused by primary testicular failure, and most patients are azoospermic.

Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. GIFT (gamete intrafallopian tube transfer) and ZIFT (zygote intrafallopian transfer).  Like IVF, these procedures involve retrieving an egg, combining it with sperm in a lab, and then transferring it back to your body. Lifestyle and environmental factors such as smoking, alcohol and drugs, poor eating habits, exposure to increases in testicular temperature (for example, in professions where the worker spends many hours sitting down) and exposure to toxins are factors that compromise semen quality. 2012;27(8):2396–2404.   Want to use this article elsewhere? Sometimes, female infertility is related to a hormone problem. If a deficit of greater than 1 L is recorded, the procedure should be terminated, and, preferably, the myomectomy should be completed in a second hysteroscopic attempt.

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Severe ovarian hyperstimulation syndrome is characterized by easily palpable ovaries, severe ascites, nausea, vomiting, diarrhea, shortness of breath, hydrothorax, peripheral edema, oliguria, hemoconcentration (eg, hematocrit level >48% and hemoglobin level >16 g), and creatinine level greater than 1. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Abnormal semen may not be able to carry the sperm effectively.

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RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. The mitotic division does not result in complete separation; rather, daughter cells maintain intracellular bridges, which have functional significance in cell signaling and maturation. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Source : Infertility for the Family Doctor - PPT Presentation Summary : unexplained infertility. planning assisted reproduction. ... Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

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The chance of a live birth following treatment is nearly 50% [25]. 8,33,35,36 Lastly, in vitro fertilization, with or without intracytoplasmic sperm injection, is the mainstay of assisted reproductive technology for male factor infertility. As there is surplus medical information everyday that can not be cached by healthcare providers, clinical guidelines created to endorse up-to-date evidence-based practice to improve patients' outcome [6]. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. Your doctor will analyze your semen analysis carefully and help you decide if ICSI is an appropriate treatment for you. Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). 3) Insemination: Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. Do you have a family history of medical problems? Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. By 2014, over 5 million people had been born after being conceived through IVF. About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older.