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Intrauterine insemination (IUI): At the time of ovulation, a fine catheter is inserted through the cervix into the uterus to place a sperm sample directly into the uterus. Treatment The cost of infertility treatment is high [34]. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Sperm Retrieval for Azoospermia and Intracytoplasmic Sperm Injection Success Rates – A Personal Overview.(PDF, 1 MB) Human Fertility, 2010. Thus one of the requirements is normal spermatogenesis – normal sperm count, motility and biologic structure and function.

Paternal age > or = 40 years: an important risk factor for infertility. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. 8 Patients should be counseled that 50% of couples who have not conceived in the first year of trying will conceive in the second year. In general, infertility is defined as the inability of couples to achieve pregnancy after ≥1 year of trying (1). Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment.

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Polycystic ovarian syndrome is the most frequent indication for ovulation induction. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. There are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus without any indentation of the uterine cavity; and 3) submucosal, or fibroids the project into the uterine cavity. Two hormones signal to the testes to make sperm and testosterone: luteinizing hormone and follicle-stimulating hormone. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995.

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Causes in women Infertility in women can also have a range of causes. This may be because the ovaries do not contain eggs. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". This can result from: A medical condition: This could be a testicular infection, cancer, or surgery. A varicocele is a varicose vein found in the scrotum.

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If oligospermia or azoospermia is noted, hypogonadism should be suspected. Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus. Coping mentally It is impossible to know how long treatment will go on for and how successful it will be. If a woman has an ovulation disorder, she may ovulate infrequently or not all. Zygote Intrafallopian Transfer (ZIFT) Zygote Intrafallopian Transfer (ZIFT) is another variation of IVF. The best candidates for tubal reanastomosis are patients who had tubal ligation by the method of fallopian ring, Filshie clip, or Pomeroy. [144] The pregnancy rate following a tubal reanastomosis performed by a skilled surgeon fluctuates from 70-80%. Issues with the regulation and production of reproductive hormones are a potential cause. Similarly, bilateral obstruction of the sperm ducts can cause azoospermia and infertility.