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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. A varicocele is a varicose vein found in the scrotum.

Although relatively uncommon, eating disorders can negatively affect menstruation, fertility, and maternal and fetal well-being. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult.

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Let’s review some of the most common causes of infertility in women: Ovulation disorders  Ovulation disorders account for 25 percent of the cases of infertility in women. If conservative medical treatments fail to achieve a full term pregnancy, the physician or WHNP may suggest the patient undergo in vitro fertilization (IVF). Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. In such cases, the vas deferens connecting the testicle and prostate is not formed. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Smoking during pregnancy increases the chance of pregnancy loss.

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However, it is important to note that they are not necessarily all displayed simultaneously. Assisted conception The following methods are currently available for assisted conception. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. Embryos transfer is performed in the office under abdominal ultrasound guidance using a small, soft, sterile and flexible catheter. Theoretically, with this therapy, we can get artificial gamets in vitro.

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In some cases, the reproductive urologist can improve semen function by recommending certain lifestyle changes, by hormonal treatments, or by surgery. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Obesity and increased risk for oligozoospermia and azoospermia. The resulting injuries can result in perforated organs and can also lead to peritonitis.[medical citation needed] There may be an increased risk of hypothermia and peritoneal trauma due to increased exposure to cold, dry gases during insufflation. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978.