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The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). A needle biopsy of the testicle can show whether a man is making healthy sperm. Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. The follicles are suctioned and microscopically examined afterward. 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.

This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. Any condition that interferes with these events may result in infertility.

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Many other surgeons feel that since they will have to make a larger incision for specimen removal anyway, they might as well use this incision to have their hand in the operative field during the procedure to aid as a retractor, dissector, and to be able to feel differing tissue densities (palpate), as they would in open surgery. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980.

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ART techniques generally start with stimulating the ovaries to increase egg production. Sherban and his staff are the most amazing, compassionate, and supportive people.

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Factors Affecting Fertility: Timing of Intercourse Intercourse prior to ovulation is key to maximizing the chance of pregnancy. This process has revolutionized assisted reproductive technology and the way reproductive endocrinologists can help people in having a baby. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. IVF/ICSI is a process by which the oocyte is fertilized by a sperm outside the body: in vitro, and then a gamete retransferred intrauterine. Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per dL [8. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998. The majority of men with varicocele present no symptoms. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma.


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