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10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. In-vitro fertilization (IVF): Sperm are placed with unfertilized eggs in a petri dish, where fertilization can take place. The procedure is performed 30-34 hours after the spontaneous LH surge or 36 hours after the administration of 10,000 U of hCG (human chorionic gonadotropin). [110] The sperm is delivered into the endometrial cavity using an intrauterine insemination catheter.

Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. If a woman can get pregnant but keeps having miscarriages or stillbirths, that's also called infertility.

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Disorders of the hypothalamus lead to hypogonadotropic hypogonadism. An obstruction can occur anywhere in the plumbing between the testicles and the penis.

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After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Overheated testicles: Causes include an undescended testicle, a varicocele, or varicose vein in the scrotum, the use of saunas or hot tubs, wearing tight clothes, and working in hot environments.

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Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. As they respond to hormones the same way as they would do in the uterus, that is by growing and shedding cyclically, endometriosis can cause both fallopian tube and ovarian scarring. View Media Gallery Uterine synechiae Uterine synechiae are corrected using operative hysteroscopy. Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. Ovulatory menstrual periods tend to be regular and predictable in terms of cycle length, duration and heaviness of bleeding, and other symptoms. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. The incidence of congenital malformation in IVF babies ranges between 2% and 3% worldwide and is similar to that in babies conceived naturally [45]. Uterine fibroids Fibroids are noncancerous growths in the uterus. A relationship also exists between obesity and erectile dysfunction (ED). Each country has its own body or bodies responsible for the inspection and licensing of fertility treatment under the EU Tissues and Cells directive [78] Regulatory bodies are also found in Canada [79] and in the state of Victoria in Australia [80] See also[edit] [edit] Inhorn MC (2003). "Global infertility and the globalization of new reproductive technologies: illustrations from Egypt". Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Assessment of efficacy of varicocele repair for male subfertility: a systematic review.