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Management of the infertile couple: an evidence-based protocol. Excess alcohol consumption: This may lower male fertility. Factors Affecting Fertility (Continued) Among other factors affecting the probability of conception are: Age of women. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992.

Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. In these cases the duration of the infertility is the best parameter by which to judge the chances of future natural conception; the longer the time of infertility then the sooner intervention should be considered.Summary Infertility is a term doctors use if a man hasn't been able to get a woman pregnant after at least one year of trying.

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A postoperative HSG should be performed 2 months later. However, it could be the future for the treatment of multiple diseases, including infertility. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation. Fimbrial phimosis and periadnexal disease can be treated with laparoscopy. [134, 135, 136, 137, 138] The pregnancy rate after salpingolysis is 50-60% during the first year after treatment. Factors affecting Fertility Caffeinated beverages: - No evidence on effect of caffeine on fertility. Alcohol - Female patients should be informed that 1 or 2 units of alcohol once or twice per week reduces risk of harming a developing fetus. - Intoxication may affect semen quality.

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The test is rated positively when motile sperm can be proved in the mucus. It’s common for couples to experience issues with infertility. Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. A lower concentration may lead to a lower chance for conception without treatment; 3) sperm motility or movement – a normal motility should be at least 50%. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006.

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A doctor injects sperm directly into the egg in a dish and then places it into your uterus. Studies have shown that approximately 70% of miscarriages are due to chromosomal abnormalities. Testicular histology typically reveals a decreased number of Leydig cells and decreased spermatogenesis. Chemotherapy: Some types may significantly reduce sperm count. One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. Men who are underweight tend to have lower sperm concentrations than those who are at a normal BMI. These include: non-steroidal anti-inflammatory drugs (NSAIDs) – long-term use or a high dosage of NSAIDs, such as ibuprofen or aspirin, can make it more difficult to conceive chemotherapy – medicines used for chemotherapy can sometimes cause ovarian failure, which means your ovaries will no longer be able to function properly neuroleptic medicines – antipsychotic medicines often used to treat psychosis; they can sometimes cause missed periods or infertility spironolactone – a type of medicine used to treat fluid retention (oedema); fertility should recover around 2 months after you stop taking spironolactone Illegal drugs, such as marijuana and cocaine, can seriously affect fertility and make ovulation more difficult. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). A failure of GnRH neurons to migrate to the proper location in the hypothalamus has been implicated. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate.