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Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Approximately 4 million (9%) men aged 25–44 years reported that they or their partner had consulted a doctor for advice, testing, or treatment for infertility during their lifetime (4).

It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases. Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended.

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In addition, infertility is considered also a public problem. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Semen quality Semen is initially a coagulum that liquefies in 5-25 minutes due to prostatic enzymes.

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Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. Surgical Intervention Uterine anomalies can be corrected through operative hysteroscopy under general anesthesia or conscious sedation. [116] Ideally, the procedure should be performed during the early follicular phase and under laparoscopic surveillance to decrease the risk of uterine perforation.

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Varicocele: Surgically removing a varicose vein in the scrotum may help. The hypophysis is blocked and insensitive to the body’s own GnRH. This sterile needle is attached to sterile suction tubing and a collecting vial. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. These time intervals would seem to be reversed; this is an area where public policy trumps science. The patient should receive prophylactic antibiotics and uterine relaxants (eg, ibuprofen) during these 7 days to prevent infection and balloon expulsion, respectively.