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Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. Having sex near the time of ovulation is the best way to increase the chance of becoming pregnant.

Taking testosterone, or any over-the-counter androgen like DHEA (for weight training), can harm fertility, says Shaban. “People have had unnecessary surgeries because they forgot to say they were on these medicines,” he warns. 0.[44] Environmental factors Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.[45][46] Tobacco smokers are 60% more likely to be infertile than non-smokers.[47] German scientists have reported that a virus called adeno-associated virus might have a role in male infertility,[48] though it is otherwise not harmful.[49] Other diseases such as chlamydia, and gonorrhea can also cause infertility, due to internal scarring (fallopian tube obstruction).[50][51][52] Alimentary habits[53] Obesity: The obesity epidemic has recently become is a serious issue, particularly in industrialized nations. Tubal and peritoneal factor infertility treatment requires a good surgeon who is skilled in currently available techniques. [128] The patient's age and the severity of the tubal pathology play important roles in the selection of patients, as do any other infertility issues such as the presence of endometriosis and severe pelvic adhesions. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. Most surgical treatment for endometriosis is currently performed through operative laparoscopy. [145, 146, 147] Laparotomy has been relegated to the treatment of severe disease or if a need for hysterectomy arises. [145] Medical treatment Medical treatment is directed toward suppressing estrogen production by the ovary. To examine the sperm motility in the cervical mucus, the postcoital test is made.

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GnRH travels down the portal system to the anterior pituitary, located on a stalk in the sella turcica, to stimulate the release of the gonadotropins, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). In many instances, more than one hysteroscopy is required for total resection. It was broken down into male and female categories. The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

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30% of women face reproduction issues at this age because ovarian reserve decreases, there are fewer eggs and they are of an inferior quality. This test is performed early in the menstrual cycle after bleeding has stopped but prior to ovulation. Effectiveness of the postcoital test: randomised controlled trial. These may be purchased over the counter and allow couples to predict the most fertile days in the cycle. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. ART: Intracytoplasmic Sperm Injection (ICSI) Another ART procedure  Intracytoplasmic Sperm Injection (ICSI)  involves the injection of a single sperm into the egg.

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DEFINITION OF TERMS Source : Endometriosis & infertility PPT Presentation Summary : Fertility Issues. World Health Organization[edit] The World Health Organization defines infertility as follows:[10] United States[edit] One definition of infertility that is frequently used in the United States by reproductive endocrinologists, doctors who specialize in infertility, to consider a couple eligible for treatment is: a woman under 35 has not conceived after 12 months of contraceptive-free intercourse. Requirements for Female Fertility (Continued) Other requirements for female fertility include: Adequate sexual drive and sexual function to permit coitus. These injections are taken nightly, typically for 5 – 10 days, and act directly on the cells of the ovary to stimulate egg development. At the same time, the number of pregnancy losses and malformations in the foetus increase. Luttjeboer F, Harada T, Hughes E, Johnson N, Lilford R, Mol BW. This allows for the diagnosis and treatment of conditions such as endometriosis with one procedure. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.[62] However, a growing body of evidence suggests that epigenetic modifications in sperm may be partially responsible.[63][64] Diagnosis[edit] If both partners are young and healthy and have been trying to conceive for one year without success, a visit to a physician or women's health nurse practitioner (WHNP) could help to highlight potential medical problems earlier rather than later. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.


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See also
Gynaecologist Infertility Clinic
Japan Radiation Infertility
Female Infertility Symptoms Mayo Clinic