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Several studies have reported different causes of infertility [7-9]. Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Many of the same surgeries performed in humans can be applied to animal cases – everything from an egg-bound tortoise to a German Shepherd can benefit from MIS.

ED may be the consequence of the conversion of androgens to estradiol. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. 37,38 The addition of 1,500 to 1,700 mg of metformin (Glucophage) daily may increase ovulation and pregnancy rates, but it does not significantly improve live birth rates over clomiphene alone. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.

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Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. Thus, pelvic ultrasonography has become an important tool for monitoring ovulation induction.

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If you’ve been diagnosed with infertility, or fear you may have trouble conceiving in the future, you’re not alone. Evaluating the Infertile Male – Part 1. (PDF, 5 MB) Contemporary OB/GYN, 2004. Obesity may also lead to less frequent ovulation or to less frequent intercourse, thereby contributing to fertility problems. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. Practice Committee of American Society for Reproductive Medicine in collaboration with Society for Reproductive Endocrinology and Infertility. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1.

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Women attempting pregnancy at age 40 or older have a 50% decreased fertility rate and a two-fold to three-fold increased risk of spontaneous abortion compared with younger women. A postoperative HSG should be performed 2 months later. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Lifestyle Factors Jump to section + All couples should be counseled to abstain from tobacco use, limit alcohol consumption, and aim for a body mass index less than 30 kg per m2 to improve their chances of natural conception or using assisted reproductive technology.