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As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues. Understanding what’s causing your fertility difficulties can help you find out what treatment is right for you and your partner.Fertility What is Normal Fertility and When Does it Become Infertility? The AZFc Region of the Y Chromosome Features Massive Palindromes and Uniform Recurrent Deletions in Infertile Men. (PDF, 5 MB) Nature Genetics, 2001. There are several requirements for male fertility. The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg.

Treatment of Female Infertility: Intrauterine Insemination Intrauterine insemination (IUI) is a fertility procedure in which sperm are washed (separated from the semen), concentrated, and injected directly into a woman’s uterus. The acrosome should be 40-70% of the size of the head, and no mid piece or tail abnormalities should be present. Done as part of an IVF treatment, ICSI involves injecting a single sperm into an egg. Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

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Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. Distribution of Spermatogenesis in the Testicles of Azoospermic Men: The Presence of Spermatids in the Testes of Men with Germinal Failure. (PDF, 295 KB) Human Reproduction, 1997. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm. Uterine fibroids Fibroids are noncancerous growths in the uterus. When the big veins heat the testes too much, the heat damages the sperm. Transsphenoidal resection of a microprolactinoma is 80-90% successful, but as many as 17% recur.

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Sterility is an emotional journey for the couple trying to become pregnant, and feelings of anger, guilt, and depression are not uncommon. Minimal Ovarian Stimulation (mini-IVF) for IVF Utilizing Vitrification and Cryopreserved Embryo Transfer. (PDF, 406 KB) Reproductive BioMedicine Online, 2010. A Physical Map of the Human Y Chromosome. (PDF, 160 KB) Nature, 2001. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Helping our patients develop a deep understanding of their fertility options will make the process smoother. It can also help if a man has severe erectile dysfunction.

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Testicular Sperm Extraction (TESE) and Intracytoplasmic Sperm Injection (ICSI) for Non-obstructive Azoospermia.(PDF, 1 MB) 10th World Congress on In Vitro Fertilization and Assisted Reproduction, 1997. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998. Microcirugía y fertilición in vitro para la azoospermia obstructiva. (PDF, 5 MB) Chapter 14 from textbook, Avances en reproducción asistida, 1992. 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. Results of one study investigating a cohort of 315 men revealed changes within the hinge region of SF-1 and no rare allelic variants in fertile control men. Tubal occlusion A tubal occlusion means there is a blockage in the fallopian tube. These problems with sperm can cause male infertility. Some people find that joining a support group helps, as it offers the chance to talk to others in a similar situation. Sertoli-cell-only syndrome (germinal cell aplasia) Patients with germinal cell aplasia have LH and testosterone levels within the reference range but have an increased FSH level. Endometrial polyps Endometrial polyps are growths found in the uterine cavity.