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The sperm moves up the cervix, towards the uterus, and into the fallopian tubes to reach and fertilize the egg. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Aetiology of Congenital Absence of Vas Deferens: Genetic Study of Three Generations. (PDF, 4 MB) Human Reproduction, 1993. Uterine synechiae development is a potential complication after the surgery; therefore, a postoperative HSG should be part of follow-up care. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Gonadotropins can trigger ovulation when Clomid or Serophene don't work.

In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. Definition “A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility” NICE guideline, CG156 Primary infertility; couple have failed to conceive before. Secondary infertility; woman has previously been pregnant regardless of the outcome of the pregnancy and now unable to conceive. In addition, infertility is considered also a public problem. Endometriosis Endometriosis is when the tissue of the uterine lining grows outside of the uterus.

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8-Mb Deletion in the Azoospermia Factor c Region. (PDF, 332 KB) Genomics, 2004. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. The following is a list of hormonal disorders which can disrupt male infertility: Hyperprolactinemia: Elevated prolactin--a hormone associated with nursing mothers, is found in 10 to 40 percent of infertile males.  Mild elevation of prolactin levels produces no symptoms, but greater elevations of the hormone reduces sperm production, reduces libido and may cause impotence.  This condition responds well to the drug Parlodel (bromocriptine). Due to the relative high cost of the equipment required, however, it has not become commonplace in most traditional practices today but rather limited to specialty-type practices. 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.

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Intracytoplasmic sperm injection[edit] ICSI technique is used in case of poor semen quality, low sperm count or failed fertilization attempts during prior IVF cycles. Instructions for collecting the sample should include abstinence from ejaculation for 48 to 72 hours. There are medications to help increase the chance of getting and keeping an erection.

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Choice of infertility treatment often related to issues of efficacy, cost, ease of use or administration, and its side effects. Sometimes there may be simple ways to make lifestyle adjustments to improve fertility, while other underlying causes may require treatment. The results of these tests help determine the best fertility treatment. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996. Patients with azoospermia or severe oligospermia seeking assisted reproductive techniques should be screened. However, a woman who does not ovulate at each menstrual cycle is not necessarily going through menopause. One-third of couples will discover fertility problems in both partners or will have their infertility remain unexplained.