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It was broken down into male and female categories. If too many embryos develop, one or more can be removed. Polycystic ovary syndrome (PCOS): The ovaries function abnormally and ovulation may not occur. Ultrastructure of Human Sperm in Men with Congenital Absence of the Vas Deferens: Clinical Implications. (PDF, 2 MB) Fertility and Sterility, 1992. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production.

This improves the chances that the embryo will implant at, or attach to, the wall of the uterus. Practice Committee of the American Society for Reproductive Medicine.

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The testicles will be checked for lumps or deformities, and the shape and structure of the penis will be examined for abnormalities. In order to perform ICSI, an egg is held via a small suction pipette, while one sperm is injected into that egg using a very fine glass needle. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function.

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It is better for a couple to see the doctor together. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. The pulsatile nature of GnRH is essential to normal gonadotropin release; a continuous stimulation inhibits their secretion.

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This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. The couples are not always consciously aware that they really are not interested in having children, but their sexual behavior reflects this attitude, e.g., in having sexual intercourse only after ovulation. An on-line WHO infertility virtual consultation course includes a 5 module WHO evidence-based medicine course, as well as a 16 module ASRM eLearning course which reviews the evidence-base for the basic diagnosis of the infertile male and female, coupled with management and treatment. Patients present with oligospermia but have LH levels within the reference range. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994.