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Alphabet Soup of ART Procedures. IVF – In Vitro Fertilization GIFT – Gamete Intrafallopian Transfer ZIFT – Zygote Intrafallopian Transfer ICSI – Intracytoplasmic Sperm Injection PESA – Percutaneous Epididymal Sperm Aspiration TESA – Testicular Sperm Aspiration. Oocyte Retrieval.
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Alphabet Soup of ART Procedures • IVF – In Vitro Fertilization • GIFT – Gamete Intrafallopian Transfer • ZIFT – Zygote Intrafallopian Transfer • ICSI – Intracytoplasmic Sperm Injection • PESA – Percutaneous Epididymal Sperm Aspiration • TESA – Testicular Sperm Aspiration
Male Factor • < 20 million sperm/mL • Motility < 35% • Morphology < 5% • Hormone profile • Yq multiplex, Karyotype • Tubal, Antisperm Antibodies, Hormonal, etc
Female Factor • Tubal (Mechanical) • Ovulatory Dysfunction (Hormonal) • Diminished ovarian reserve (Cellular) • Endometriosis (Mechanical/Cellular) • Uterine factor (eg., leiomyoma) (Mechanical/Cellular)
IVF - ICSI ZP S. Nucl Egg Cytoplasm Sperm