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Infertility and Assisted Reproductive Technologies Tianjin Medical University General Hospital Obstetrics and Gynecology Department
content ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Definition ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Human gamete oocyte sperm
oocyte Normal ovulation Hypothalamus Pulsatile secretion of GnRH pituitary FSH  LH  positive feedback  ovary Development  productione of follicles  ostrogen LH surge Maturation ovulation Corpus luteum progesterone
sperm Normal sperm production ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object]
 
[object Object],[object Object]
[object Object],[object Object],[object Object]
Causes  原因 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Female Factors  女方因素 ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ovulatory dysfunction 排卵障碍 hypothalamus pituitary ovary
Pelvic factors  盆腔因素 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male Factors  男方因素 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Both Male and Female Factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basic evaluations ,[object Object],[object Object],[object Object],[object Object],[object Object]
The goals of infertility evaluation ,[object Object],[object Object],[object Object],[object Object]
Male factor
History  ,[object Object],[object Object]
Male  infertility  questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Physical examination
Investigation
Semen analysis
Normal Values for Semen  ( following 2 to 7day period of abstinence)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endocrine evaluation ,[object Object],[object Object],[object Object],[object Object],hypothalamus pituitary testis
treatment
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Female infertility questionnaire ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Female infertility questionnaire ,[object Object],[object Object]
Physical examination ,[object Object],[object Object],[object Object],[object Object]
Ovulatory factor
ovarian   functions detection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],sexual hormone  assay
Basal body temperature(BBT) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basal body temperature(BBT)
Midluteal level of serum progesterone ,[object Object],[object Object]
Endometrial biopsy ,[object Object],[object Object],[object Object],[object Object]
Proliferative phase Luteal phase
Urinary LH testing ,[object Object],[object Object],[object Object]
Transvaginal ultrasonography ,[object Object],[object Object],[object Object],[object Object]
 
Treatment  ,[object Object],[object Object],[object Object],[object Object]
Clomiphene citrate ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Main Complication Of  Induce ovulation
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object]
Correction of a luteal phase defect ,[object Object],[object Object],[object Object]
Cervical factor
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Investigation(2)
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
Uterine - tubal factor
Uterine  ,[object Object],[object Object],[object Object],[object Object]
Tube   ,[object Object],[object Object]
Test for tubal patency ,[object Object],[object Object],[object Object]
Hysterosalpingography  ,[object Object],[object Object],[object Object]
HSG Free spill of dye from the distal ends of the tubes The dye in the peritoneal cavity after 24 h
Bilateral tubal occlusion Proximal  part distal ends of the tubes
Laparoscopy ,[object Object],[object Object],[object Object]
 
 
Treatment
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment
Peritoneal factor
[object Object],[object Object]
Endometriosis of the Ovary Copyright Trehan UTERUS RIGHT OVARY SKIN OF THE PELVIS UTERUS ENDOMETRIOTIC  CYST ON OVARY BOWEL LARGE OVARIAN CYST  (CHOCOLATE CYST) UTERUS LEFT  OVARY RIGHT  OVARY ADHESIONS Copyright Trehan Copyright Trehan
Endometriosis interferes with fertility in a number of ways(1): ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Endometriosis interferes with fertility in a number of ways(2 ):
Unexplained infertility
[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment   ,[object Object],[object Object]
Assisted Reproductive Technologies (ART)  辅助生育技术 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intrauterine insemination ( IUI)  人工授精 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
cervixs uterus sperm oocyte Intrauterine Insemination IUI Sperm preparation
In vitro fertilization –embryo transfer  IVF-ET
[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVF procedure(1) ,[object Object],[object Object],[object Object],[object Object]
Ovarian stimulation ,[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],IVF procedure(2)
 
Oocytes retreival
Oocytes collection
[object Object],[object Object],[object Object],IVF procedure(3)
 
Culture of Fertilized Eggs in the Laboratory ,[object Object],[object Object]
 
[object Object],[object Object],[object Object],IVF procedure(4)
Outcome of IVF ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object]
Other techniques in IVF ,[object Object],[object Object],[object Object]
Other techniques in IVF   ,[object Object],[object Object],[object Object]
Phychological aspect
[object Object],[object Object]
Thanks thanks

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14.Infertility And Art2009.3.24