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Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age.[72] Fertility problems affect one in seven couples in the UK. Although tubal disease was the original indication for IVF, many more indications have developed over the years. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. A varicocele is a varicose vein found in the scrotum.

Our goal is to have each and every patient feel as part of our team, a team that is focused on helping them have a healthy baby. This is obviously extremely distressing for the couples involved. 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. 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.

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Introduction for Infertility

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One-third of couples will discover fertility problems in only the woman. Castration of the affected testis may allow the other testis to regain its ability to produce sperm, but the prognosis is guarded. The evaluation of the azoospermic male: AUA best practice statement.

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Normal Intrauterine Pregnancy After Reversal of Tubal Sterilization in the Wife and Vasectomy in the Husband.(PDF, 1 MB) Fertility and Sterility, 1978. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. History-taking Couples with infertility problem should be interviewed separately as well as together, to bring out important facts that one partner might not wish to disclose to the other. The Fate of Non-absorbable Intraureteral Suture. (PDF, 233 KB) The Journal of Urology, 1973. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS).

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Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. It is in fact possible to restore ovulation using appropriate medication, and ovulation is successfully restored in approximately 90% of cases. Blocked tubes Sperm travel in tubes from the man’s testes to the penis. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. Eating disorders: If an eating disorder leads to serious weight loss, fertility problems may arise. ICSI can be performed when sperm counts are extremely low or abnormal.


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