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IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. If the epididymis is blocked, sperm may not be ejaculated properly. High-cost treatments are out of financial reach for some couples. If a lack of sperm is suspected, surgery, hormones and assisted reproductive surgery can correct the problem. 549 KB Effect of Age on Male Fertility. (PDF, 5 MB) Chapter from textbook, Seminars in Reproductive Endocrinology, 1991.

When Predictions Don’t Predict. (PDF, 549 KB) The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF).

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CC has been in clinical use since the early 1960s. Factors Affecting Fertility: STIs and Other Infections Gonorrhea and chlamidia in women can cause cervicitis and pelvic inflammatory disease (PID); and in men, urethritis, epididymitis, and, possibly, accessory gland infection. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Allied and Complementary Medicine Database (AMED), ... Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. The starting dose is 5 mcg per pulse intravenously or 5-25 mcg subcutaneously.

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Luteinized unruptured follicle syndrome can be prevented by the administration of hCG (10,000 IU IM) once the follicle reaches 23-24 mm in diameter. For those interested, we offer a free class entitled, “The Couple’s Guide to IVF”, that meets twice monthly and is open to the public. Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. The mature spermatid is then located adjacent to the tubule lumen and contains dark chromatin with an oval-shaped nucleus. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Spermatogonia and Sertoli cells lie on the basement membrane of the seminiferous tubules. Overweight or obesity: This may reduce the chance of conceiving. In men, exposure to lead can reduce both sex drive and sperm count. If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study.