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6) Surgery – After a thorough history, physical examination, and ultrasound are performed, your doctor may recommend surgery to correct and abnormality. Painful or heavy periods Most women experience cramps with their periods. The woman may be given a low dose of ovary stimulating hormones. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Patients with less than of 14% normal forms had a substantially reduced success rate. The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips (rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application) made general surgeons more comfortable with making the leap to laparoscopic cholecystectomies (gall bladder removal).

The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI). Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity.

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Factors effecting normal expectancy of conception. ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. Practice Committee of the American Society for Reproductive Medicine.

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This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). Treatment of Uterine Factors Until in vitro fertilization became available, a patient with congenital absence of the uterus and vagina (Rokitansky-Küster-Hauser syndrome) had no chance to have a biologic child. Causes of Male Infertility Male infertility may be a result of some conditions that affect the quality of sperm, lead to low sperm production (oligospermia), or lead to the absence of sperm production (azoospermia). The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests.

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Teratospermia is defined as less than 30% normal morphology, and the WHO lower reference limit (5th percentile) is 4%. Search dates: January 6, 2014; January 28, 2014; February 5, 2014; and November 18, 2014. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Further investigations 18. Laparoscopy: - Invasive procedure. - to check for pelvic disease; such as endometriosis and to check tubal patency. - therapeutic as in laparoscpic myomectomy and ovarian drilling. Hysteroscopy: - to evaluate uterine cavity. - In case of repeated failed IVF cycles. - therapeutic as in intrauterine septum.