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Pregnancy After Testicular Transplant: Importance of Treating the Couple. (PDF, 5 MB) Fertility and Sterility, 1980. Surgical sperm aspiration: The sperm is removed from part of the male reproductive tract, such as the vas deferens, testicle, or epididymis.

1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident. The Disappearing Y Chromosome – “I Told You So!” (PDF, 266 KB) Human Reproduction, 1997. Choose a single article, issue, or full-access subscription.

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A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome. If this is unsuccessful, the dosage may be increased to 100 mg daily. Estrous cycle abnormalities can cause infertility. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. Treatment of tubal obstruction generally requires referral for subspecialty care.

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8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder.

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Afterward, the embryo transfer follows with a sterile special catheter into the cavum uteri. Cystic fibrosis: This is a chronic disease that results in the creation of a sticky mucus. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001. Other causes of infertility affecting both partners include immunological incompatibility between sperm and the cervical mucus, which may in some instances cause sperm agglutination. Expression of HBD1 is reduced in individuals with asthenozoospermia and leukocytospermia. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Secondary fertility involves one or both partners who have conceived previously, but are now unable to do so because of a possible physical or medical condition impairing fertility. The presence of antibodies in serum or seminal plasma is less prognostic than antibodies bound to sperm.