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ICSI with Epididymal and Testicular Sperm Retrieval. (PDF, 1 MB) Male Sterility and Motility Disorders: Etiological Factors and Treatment, 1998. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg.

Ovulation disorders can be treated with ovulation-inducing drugs. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

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Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.  All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH.

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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Effect of male age on fertility: evidence for the decline in male fertility with increasing age.

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View Media Gallery Sperm next enter the vas deferens, a 30- to 35-cm muscular conduit of Wolffian duct origin. IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. After a woman ovulates, her body temperature rises by as much as 0. The only disadvantage with BBT is that in many instances, the shift does not occur in a clear way, and the patient misses the time of ovulation. For this reason, a call for low-cost ART protocols have been attempt to reduce the overall current cost of IVF through limiting the rquired laboratory investigations, modifying the stimulation regimen and purchasing low-priced pre-used machines and instruments [35]. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. After their release from the Sertoli cells into the lumen of the seminiferous tubules, the spermatids successively pass through the tubuli recti, rete testis, ductuli efferentes, and, finally, the epididymis (see image below).