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Treatment of the cause: 30. Unexplained infertility: - Ovarian stimulation should not be considered as does not improve pregnancy or birth rates. - Advise to try to conceive for two years of unprotected sexual intercourse before other options. - After two years of failure to conceive, consider IVF/ICSI. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them.

Religious leaders' opinions on fertility treatments; for example, the Roman Catholic Church views infertility as a calling to adopt or to use natural treatments (medication, surgery, or cycle charting) and members must reject assisted reproductive technologies. Sterility is the inability to conceive after two years of regular intercourse. In patients with varicocele, there is insufficient evidence to suggest corrective surgery will increase live birth rates, despite improvement in semen analysis results. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.

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Women with anovulation may be treated in the primary care setting with clomiphene to induce ovulation. They can often recommend a counselor and others who can offer appropriate support.

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Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Ejaculation disorders Ejaculation disorders include premature ejaculation, anejaculation (the failure to ejaculate), and retrograde ejaculation, which is when semen enters the bladder during orgasm instead of coming out the tip of the penis. In this regard, keyhole surgery can be a disadvantage.[23] Risks[edit] Some of the risks are briefly described below: The most significant risks are from trocar injuries during insertion into the abdominal cavity, as the trocar is typically inserted blindly. It also gives them more options in dealing with unexpected adverse events (e.g., uncontrolled bleeding) that may otherwise require creating a much larger incision and converting to a fully open surgical procedure.[5] Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons.

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If the E2 and FSH levels are in the normal range, clomiphene citrate is the drug of choice, as previously described. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. Chronic conditions: These include AIDS or cancer. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Primary sterility is the complete inability to become pregnant, while secondary sterility refers to the failure to conceive after a previous successful pregnancy. Human menopausal gonadotropin, or hMG (Repronex): This contains both FSH and LH. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. The pituitary gland is controlled by the hypothalamus. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI).