Clinical embryology; assisted reproduction in the laboratory
5 important questions on Clinical embryology; assisted reproduction in the laboratory
When has a couple infertility issues?
Treatment options for a couple with infertility issues?
- Induction of ovulation -> the induction of ovulation with hormones
- intra uterine insemination -> ovulation detection/induction and when ready a motile fraction of semen is inseminated in the uterine cavity
- IVF/ICSI
- cryopreservation
- fertility presevation for man and women
Influencing factors for infertillty for men:
- Scrotal temperature
- Intoxication --> chemtherapy, antibiotics, alcohol, smoking, drugs
- Radiotherapy
- Psychological stress
- Excessive sports
- Overweight
- Period of abstinence --> storing the se
men for more than 5 days will give more dead sperms than living sperm when ejaculating
- Age
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ICSI and indications for ICSI
- Needs to be done slow otherwise the oocyte degenerates
- indications for ICSI:
- severe male factors (V.C.M. < 2* 10^6
- nor fertilization previous IVF-attampt
- surgically retrieved sperm -> PESA, TESE
- when using frozen oocytes
Ovarian tissue (auto)transplantation (OTT)
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