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Surgical Management of Male Infertility. (PDF, 2 MB) Chapter 12 from textbook, Male Infertility, 1992. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery.

Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. Causes It is estimated that infertility affects 1 in 7 heterosexual couples in the UK. In about 40% of cases disorders are found in both the man and the woman.

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Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Management of the infertile couple: an evidence-based protocol. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary).

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IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval. Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum.

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Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. The dynamics of stress in fertile and infertile couples. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. 9 IU/l for a low response and less than 4 IU/l for a high response. No evidence for: - ovarian volume - ovarian blood flow - inhibin B -oestradiol (E2) Further investigations 15. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries. Irregular periods The average woman’s cycle is 28 days long. The ovaries can stop working in about 5% of cases. Ovulation disorders can be due to: Premature ovarian failure: The ovaries stop working before the age of 40 years. Infection: Some infections, such as gonorrhea or inflammation of the testicles, can affect sperm production or sperm health or can cause scarring that blocks the passage of sperm. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Birth after Preimplantation Diagnosis of the Cystic Fibrosis F508 Mutation by Polymerase Chain Reaction in Human Embryos Resulting from Intracytoplasmic Sperm Injection with Epididymal Sperm. (PDF, 2 MB) The Journal of the American Medical Association, 1994.