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Lifetime prevalence of infertility and infertility treatment in the UK: results from a population-based survey of reproduction. 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. When the big veins heat the testes too much, the heat damages the sperm. Patients who do not ovulate because of a fault in the pituitary gland may receive this drug as an injection.

Perspectives on infertility consultations in primary care: a qualitative study. Report on optimal evaluation of the infertile male.

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No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. It can also help if a man has severe erectile dysfunction.

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Povey AC, Clyma JA, McNamee R, et al.; Participating Centres of Chaps-UK. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors.

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The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Intrauterine insemination 33. Consider unstimulated intrauterine insemination as a treatment option in the following groups as an alternative to vaginal sexual intercourse: - people who are unable to, or would find it very difficult to, have vaginal intercourse - people with conditions that require specific consideration in relation to methods of conception (for example, after sperm washing where the man is HIV positive) - people in same-sex relationships Do not offer IUI for people with unexplained infertility, mild endometriosis or mild male factor. Always take in consideration the ages of the couple. Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction. Ovulation induction and intrauterine insemination are used after completion of the treatment in hopes of expediting the establishment of a pregnancy before relapse of the disease. [39, 157, 158] Treatment of Ovarian Factors Ovulation induction is the appropriate treatment for infertile patients who have dysfunction of the hypothalamic-pituitary-ovarian axis. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. Ovulation occurs about two weeks before a woman’s next period starts. About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. Hereditary causes: due to chromosome or genetic abnormalities. If too many embryos develop, one or more can be removed. The basic work-up, or fertility evaluation, includes: Semen analysis of the male partner. Treatment depends on the cause of infertility and varies from ovulation-inducing drugs to surgery to ART.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. The Three-kidney Rat Model. (PDF, 2 MB) Investigative Urology, 1974. Sperm were inserted into the oocyte (bar = 100 µm). (B) Marmoset blastocysts produced by ICSI. (bar = 100 µm). Some physical effects may also result from treatment. It may also prevent the sperm from reaching the egg.