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World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Sertoli Cell only Revisited. (PDF, 1 MB) Human Reproduction, 1995. Fertility treatments for men Treatment will depend on the underlying cause of the infertility.

Long-term Economic Benefits Attributed to IVF-conceived Children: A Lifetime Tax Calculation. (PDF, 225 KB) The American Journal of Managed Care, 2008. Pregnancies after Testicular Sperm Extraction and Intracytoplasmic Sperm Injection in Non-obstructive Azoospermia. (PDF, 3 MB) Human Reproduction, 1995. This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. The main approach to correcting or removing these uterine abnormalities is by hysteroscopy, a surgical method by which a narrow scope with a camera is placed within the uterine cavity. Difficulties getting pregnant increase from 35 years of age. If GnRH is not secreted, the pituitary does not release LH and FSH.

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Sperm production problems One of the most common causes of male infertility is problems with sperm production. Treatment of the cause: ď‚—Male Factor: (Liaise with the andrologist) 1. Cholesterol One study has found that high cholesterol levels may have an impact on fertility in women.

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She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976.

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If a weight gain greater than 2 lb occurs, the patient should be evaluated to determine if hospitalization is required. In contrast, anovulation usually manifests itself as irregularity of menstrual periods, that is, unpredictable variability of intervals, duration, or bleeding. For a man to be fertile, the testicles must produce enough healthy sperm to be ejaculated effectively into the woman's vagina. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. A detailed history and physical examination is necessary for both partners. Generally, evaluation should be offered to couples who have not conceived after one year of unprotected vaginal intercourse. 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.


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