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29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted. A karyotype test and a Y chromosome test for microdeletions are indicated in patients with nonobstructive azoospermia or severe oligospermia (< 5 million sperm/mL), although indications are expanding.[20] Klinefelter syndrome Klinefelter syndrome is the most common chromosomal cause of male infertility, estimated to be present in 1 per 500-1000 male births. Ovarian hyperstimulation syndrome The ovaries can swell, leak excess fluid into the body, and produce too many follicles, the small fluid sacs in which an egg develops. Other factors, such as luteal phase defect or production of anti-sperm antibodies.

Up to 25% of infertile men have idiopathic infertility. 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. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Egg donation. This can help you if you have ovaries that don't work right but you have a normal uterus.

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Retrograde ejaculation: Sperm can be taken directly from the bladder and injected into an egg in the laboratory. Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. Patients generally have long arms and legs due to a delayed closure of the epiphyseal plates, delayed puberty, and atrophic testis.

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Infertility Tests History and physical examination – First and foremost, your fertility physician will take a very thorough medical and fertility history. Supplementation with acetyl L carnitine and antioxidants such as Vitamins C or E are encouraged to enhance sperm maturation and function. Varicocele: Surgically removing a varicose vein in the scrotum may help. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

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About 85 percent of male-female couples will be able to get pregnant within 12 months of trying. The potential for robotic surgery has had strong military interest as well, with the intention of providing mobile medical care while keeping trained doctors safe from battle.[citation needed] Non-robotic hand guided assistance systems[edit] There are also user-friendly non robotic assistance systems that are single hand guided devices with a high potential to save time and money. Diet: A lack of folic acid, iron, zinc, and vitamin B-12 can affect fertility. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF).