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Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier) can be introduced by the surgeon into the abdomen through trocars (hollow tubes with a seal to keep the CO 2 from leaking). Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Medical treatment for minimal to mild disease has not been shown to be of benefit.

In addition to a careful history, a physical evaluation may also be performed. Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby.

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Donor semen should be free from any STI-producing organisms, including HIV. The incidence varies in different populations, in some areas approaching 40%. This is an uncommon type of anovulation disorder.

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This is where no cause can be identified in either the woman or man. The chance of a multiple birth is lower with an oral fertility drug. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. 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%). Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained. After a woman ovulates, her body temperature rises by as much as 0. 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. Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. Today, many patients do not receive the recommended medical care that based on the best available evidence [5].