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Infertility and Impotence
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Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. Treatment for Infertility 1) Education: We strongly believe that educating our patients about the normal process of fertility, problems that affect fertility, and treatment options will empower our patients to make the best choices. Regardless of the treatment approach, establish a 6- to 12-month interval during which a spontaneous pregnancy is expected to occur. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter.
Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. Furthermore, laparoscopy assists in the differential diagnosis between a septate and a bicornuate uterus. Successful Pregnancy and Delivery after Calcium Ionophore Oocyte Activation in a Normozoospermic Patient with Previous Failed Fertilization after Intracytoplasmic Sperm Injection. (PDF, 57 KB) Fertility and Sterility, 2003.
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Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. Associated conditions[edit] For most women, alteration of menstrual periods is the principal indication of chronic anovulation.
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This combination of laboratory test results may indicate ovarian insufficiency or diminished ovarian reserve. A British study found that patients valued primary care physicians who were well informed about infertility and the treatment process. If a blockage is present, surgery may be necessary. However, varicoceles may lead to impaired testicular spermatogenesis and steroidogenesis, potentially due to an increased intratesticular temperature, reflux of toxic metabolites, and/or germ cell hypoxia as potential causes of these changes, and this appears to be progressive over time. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies.
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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. Once the fluid containing the eggs is removed from the follicles into the vials, they are handed to the embryologist who finds the eggs, places them in tiny droplets on a Petri dish, and then fertilizes the eggs using their partner’s or donor sperm. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Chemotherapy Chemotherapy is toxic to actively dividing cells. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. Many infertile couples have had some previous assessment for their infertility and this data should be cautiously reviewed.
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See also
Infertility Kit
Infertility Urology
Infertility Diseases