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Clinical examination Full clinical examination of both partners usually stands for the underlying physical problem [17-22,24-26], (Appendix 2). 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors.

Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Thalassemia Patients with thalassemia have ineffective erythropoiesis and undergo multiple blood transfusions. Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility). But as it turns out, we men don't get off that easily. IUI is more commonly done when the man has a low sperm count, decreased sperm motility, or when infertility does not have an identifiable cause.

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It involves: A vagina capable of receiving sperm. Being obese or overweight: This can increase the risk of infertility in women as well as men. Causes in men The following are common causes of infertility in men.

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It also gives them more options in dealing with unexpected adverse events (e.g., uncontrolled bleeding) that may otherwise require creating a much larger incision and converting to a fully open surgical procedure.[5] Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. Some authorities believe that ovulation occurs 5 days after the last dose of CC.

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In 1978, the first baby was born as a result of IVF. Tubal and peritoneal factor infertility treatment requires a good surgeon who is skilled in currently available techniques. [128] The patient's age and the severity of the tubal pathology play important roles in the selection of patients, as do any other infertility issues such as the presence of endometriosis and severe pelvic adhesions. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. Theoretically, with this therapy, we can get artificial gamets in vitro.