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Treatment Possibilities: Male Infertility Surgical treatment may be successful in some cases, such as varicocele. Sherban and his staff are the most amazing, compassionate, and supportive people. Endocrine tests to check concentrations of the hormones testosterone, FSH and LH. Some of the features include: Visual magnification — use of a large viewing screen improves visibility Stabilization — Electromechanical damping of vibrations, due to machinery or shaky human hands Simulators — use of specialized virtual reality training tools to improve physicians' proficiency in surgery [33] Reduced number of incisions There has been a distinct lack of disclosure regarding nano-scale developments in keyhole surgery and remote medicine, a "disparity of disclosure" which does not correlate with the rapid advancements in both the medical and nanotechnology fields over the last two decades.[citation needed] Robotic surgery has been touted as a solution to underdeveloped nations, whereby a single central hospital can operate several remote machines at distant locations. With the fast progression in reproductive medicine and the experiences gained through infertility management, a wider range of treatment options have become available to infertile couples [17-19,21-26,31,36], (Appendix 4). Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory.

Semen analysis: A sample may be taken to test for sperm concentration, motility, color, quality, any infections, and whether any blood is present. Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006.

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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Fertility Evaluation of the Male Partner: Semen Analysis Semen analysis is an essential part of the evaluation. Illegal drugs: Some women who use marijuana or cocaine may have fertility problems.

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The NICE guidance has more about unexplained infertility. If pregnancy has not been established within a reasonable time, further evaluation and/or an alternative treatment plan should be considered. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo.

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A doctor or WHNP takes a medical history and gives a physical examination. Duration of Fertility after Fresh and Frozen Ovary Transplantation. (PDF, 606 KB) Fertility and Sterility, 2010. CC is a nonsteroidal estrogen capable of interacting with estrogen receptor–binding proteins in a manner similar to estrogen but in a more prolonged way. [159, 160] Therefore, CC behaves similar to an antiestrogen. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Recent research carried out in Sweden covering stress markers in saliva demonstrated that patients who are stressed have a greater number of reproduction issues. Live Birth Following Day Surgery Reversal of Female Sterilisation in Women Older then 40 Year: A Realistic Option in Australia? (PDF, 156 KB) Medical Journal of Australia, 2007.