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Not PPT Presentation Summary : Infertility Statistics. Blockage of the ejaculatory duct: Sperm can be extracted directly from the testicles and injected into an egg in the laboratory. When the eggs are mature, your doctor collects them with a device called a vaginal ultrasound probe. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years.

For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use; 3) embryo donation – a process where a fully developed embryo from another person in combination w/donor sperm, or couple who underwent IVF, are donated to another woman, the future intended mother, for transfer into her uterus; and 4) gestational surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. Operative hysteroscopy associated with tubal cannulation is helpful to treat cornual obstruction.

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Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. 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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The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. ART: Intracytoplasmic Sperm Injection (ICSI) (Continued) Once an egg is injected, it is observed for approximately 14 hours to see if fertilization has occurred (average fertilization rate is about 65%), and for 24 hours to ensure that cell division has started.

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Experts then assess your sperm count, their shape, movement, and other variables. “Generally, a higher number of normal-shaped sperm means higher fertility,” says Shaban. Chemotherapy: Some types may significantly reduce sperm count. The Disappearing Male. (PDF, 1 MB) From Towards Reproductive Certainty, 1999. Difficulties getting pregnant increase from 35 years of age. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Pelvic ultrasonography can be used once a week until the dominant follicle is detected; once this occurs, ultrasonography can be used more frequently until ovulation occurs. Successful Pregnancy after Microsurgical Transplantation of an Intact Ovary. (PDF, 438 KB) The New England Journal of Medicine, 2008. 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. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. The fertilized embryo is then transferred to womb. Immotility of the sperm can be caused by antibodies against the sperm.