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Assisted conception The following methods are currently available for assisted conception. There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal.

BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo. Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. A decreased testosterone level with an increased FSH level points to primary hypogonadism. M. genitalium infection is associated with increased risk of infertility.[25][26] Genetic[edit] A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.[citation needed] Mutations to NR5A1 gene encoding Steroidogenic Factor-1 (SF-1) have been found in a small subset of men with non-obstructive male factor infertility where the cause is unknown.

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Carcinoma in the Bladder Left Behind. (PDF, 3 MB) The Journal of Urology, 1973. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens.

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For a woman to conceive, certain things have to happen: vaginal intercourse must take place around the time when an egg is released from her ovary; the system that produces eggs has to be working at optimum levels; and her hormones must be balanced.[54] For women, problems with fertilisation arise mainly from either structural problems in the Fallopian tube or uterus or problems releasing eggs. Sperm can survive inside the female for up to 5 days, while an egg can be fertilized for up to 1 day after ovulation. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries.

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Microscopic Vasovasostomy and Spermatogenesis. (PDF, 1 MB) The Journal of Urology, 1977. If resistant to the above, offer: - laparoscopic ovarian drilling, or, - ovulation induction via gonadotrophins. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. Therefore we recommend a fertility evaluation if a couple has been attempting pregnancy for 6 months or more when the woman is 35 years of age or older. A sperm analysis can be done to check a man's sperm count and the overall health of the sperm.Infertility is the inability of a person, animal or plant to reproduce by natural means. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. However, these tests have only poor to moderate predictive value despite widespread use. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications.