My sperm count

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BACKGROUND: The use of intracytoplasmic sperm injection has increased substantially worldwide, primarily in couples with non-male factor infertility. However, there is a paucity of evidence from randomised trials supporting this approach compared with conventional in-vitro fertilisation (IVF). We aimed to investigate whether intracytoplasmic sperm injection would result in a higher livebirth rate compared with conventional IVF. METHODS: This open-label, multicentre, randomised trial was done at two IVF centres in Ho Chi Minh City, Vietnam (IVFMD, My Duc Hospital and IVFAS, An Sinh Hospital)...

A recent series of articles and reviews published in Fertility and Sterility have rekindled the more than half century debate on varicocelectomy. Every one of these articles favored strongly the repair of varicocele for male infertility. Since my review paper on this issue in 2001, published in Human Reproduction Update, and since advent of ICSI in 1993, I had thought that most reproductive physicians felt negatively about the benefit of varicocelectomy. However, more recent urological papers are causing this negative view to be re-evaluated...

PURPOSE: Controversy still exists as to whether testicular delivery during microsurgical subinguinal varicocelecto­my (MSV) provides benefit to the patient or not. This study specifically compared the therapeutic effect of MSV with and without testicular delivery for the treatment of varicocele in a cohort of infertile men. MATERIALS AND METHODS: We conducted a prospective, randomized, controlled study to evaluate the therapeutic efficacy of MSV with and without testicular delivery for the treatment of varicocele in infertile men...

Janice Jean has some words of encouragement for couples who have given up hope of ever having a child of their own. "Look at my son." Janice, 37, believes little Jacob Michael, born July 31, 1995, to her and her 40-year-old husband, Ron, is truly a miracle. And she feels Michael H. Fakih, MD, director of the Fakih Institute of Reproductive Sciences and Technologies (FIRST) and in whose honor Jacob received his middle name, is a miracle worker. "We never thought there was hope. With one fallopian tube and a zero sperm count? But I believe in miracles--and I believe in Dr...