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For conception to take place, several events should happen correctly and at exactly the right time. Patients may have a normal palpable vas deferens bilaterally but show decreased ejaculate volume and hemospermia and may experience pain upon ejaculation. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit.

Antisperm antibody test Sperm contain unique antigens that are not recognized as self by the body's immune system because of the blood-testis barrier. Source : (1).pptx Evaluation of Fertility: A Cornerstone to Improved ... Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Men should also avoid hot baths and whirlpools, he says, because the high temperatures slow down your sperm factory. Close Common Causes of Female Sterility The most common causes of female sterility include: Fallopian tube damage or blockage Ovulation disorders Polycystic ovary syndrome (PCOS) Endometriosis Early menopause Pelvic adhesions Benign uterine fibroids Close Help for Sterility Sexual problems such as impotence or premature ejaculation should be addressed. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.[1] Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique.

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Its treatment depends on the etiologic factor, but, in many instances, the underlying cause remains unknown. The endometrium can be damaged from previous curettages or infections like endometritis. Some systems are lightweight constructions (18 kg) and can withstand a force of 20 N in any position and direction. The Relationship of Abnormal Semen Parameters to Male Fertility. (PDF, 4 MB) Human Reproduction, 1989. 41 Treatment of Unexplained Infertility Jump to section + Couples who have no identified cause of infertility should be counseled on timing of intercourse for the most fertile period (i.e., the six days preceding ovulation). If too many embryos develop, one or more can be removed.

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Use of clomiphene citrate in infertile women: a committee opinion. The 3 classes of surgical techniques are conventional laparotomy, operative laparoscopy, and operative hysteroscopy, as follows: Laparotomy: This technique is indicated for large myomas, for submucous myomas larger than 3 cm in diameter, or for myomas that, regardless of being submucous, have a portion of the myoma that compromises the myometrium so that a complete resection through the hysteroscopy is not feasible.

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Medications, treatments, and drugs Some drugs can affect fertility in a woman. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Its mechanism of action is still not well understood, but it competes for the estrogen receptor at the hypothalamus, pituitary, and ovarian levels. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Sperm Granuloma and Reversibility of Vasectomy. (PDF, 11 MB) Lancet, 1977. Risk factors for both men and women are the same and these include age, stress, being underweight or overweight, diet, smoking, alcohol and drugs. Of particular relevance amongst diseases affecting the testes are testicular infection or orchitis.