One of the most common and intractable problems we face as fertility specialists is teratospermia and oligoasthenoteratospermia. First of all, let's be clear that men participate in the process of conception with a very poor genetic makeup. This is because we use tens of millions of spermatozoa to fertilise our partner's single egg, without knowing…
Obesity
Exceeding the ideal body weight has been associated with a 30% reduction in fertility potential, both in natural conception and in IVF. Obesity is also thought to have an aggravating effect during pregnancy as it is related to an increased risk of gestational diabetes, preeclampsia and other complications during pregnancy.
An accurate way to…
In cases where mild oligoasthenoteratospermia is observed and the numeric requirements set by the WHO are met, a decision may be made to perform sperm Intrauterine Insemination (IUI). During this procedure, the semen is subjected to a special treatment (centrifugation using the PERCOLL method) which intends to isolate the spermatozoa from the seminal plasma and select…
Extensive debate has been sparked in the international community about the necessity and effectiveness of treating varicocele.
But what is varicocele really?
Varicocele is the dilatation of the veins within the loose bag of skin that holds the testicles (scrotum), the coiled tube that carries the sperm out of the testicles towards the rest of…
Surgical approach seems to make sense also in severe cases of polycystic ovaries that do not respond to medication. These patients may benefit from having 5-10 holes drilled through the surface of the ovary performed by diathermy, a procedure called ovarian drilling. Almost 80% of treated patients see regular periods every month, whereas previously they…
1)Uterus & hysteroscopy
Although congenital abnormalities in the uterus do not normally cause infertility they sometimes cause problems during a potentially subsequent pregnancy. Therefore, the potential risks arising from them should be analysed in detail before starting any fertility treatment. Accordingly, if the uterus has fibroids which are in contact with the endometrial cavity and…