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Epidemiology of Sterility and Infertility Sterility and infertility affect about 10 – 15% of couples. In some cases, simply removing the polyp solves infertility. It is usually not the natural state of a healthy adult, except notably among certain eusocial species (mostly haplodiploid insects). IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques. The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. The types of ART include: In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT) Another ART procedure – Intracytoplasmic Sperm Injection (ICSI) – is used mainly in cases of male infertility to treat couples who cannot achieve fertilization due to the male partner’s extremely low number of normal, viable sperm.

Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. The more fetuses there are, the higher the risk of premature labor. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Today, assisted reproductive techniques (ARTs) offer powerful new options.

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Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Chronic conditions: These include AIDS or cancer. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. ART techniques generally start with stimulating the ovaries to increase egg production.

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Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. 47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor.

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It is specially oriented for cancer patients, whose sperm is destroyed due to the gonadotoxic treatment they are submitted to.[70] Ovaric stem cells: it is thought that women have a finite number of follicles from the very beginning. In closed social groups, a degree of rejection (or a sense of being rejected by the couple) may cause considerable anxiety and disappointment. Fibroids Non-cancerous growths called fibroids in or around the womb can affect fertility. 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. Transvaginal or abdominal paracentesis should be performed if the patient becomes uncomfortable. Mittelschmerz and premenstrual symptoms tend to be absent or reduced when a woman is anovulatory. ART includes all fertility treatments in which both eggs and sperm are manipulated.