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It was usual practice to talk about infertility in those cases where three or more pregnancy losses had occurred. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Other testing may be needed based on circumstances, including testicular biopsy, genetic testing, and imaging (Table 36–8,10,19,20).

This abnormality is usually surgically corrected in infancy. World Health Organization reference values for human semen characteristics.

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Although sperm quality deteriorates as men age, this does not create a problem until after the age of 60. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. 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. Other hormones including inhibin B and leptin, may also be affected by obesity. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. Meticulous hemostasis is imperative. [131, 132, 133] Operative laparoscopy was reintroduced into the surgical armamentarium in the 1950s; however, in the 1970s, Semm developed different procedures and operative instruments that currently allow for the outpatient laparoscopic surgical treatment of multiple tuboperitoneal pathologies, [91] electrocautery, endocoagulation, lasers, and ultrasonography scalpels facilitate the performance of operations that otherwise used to require a laparotomy.

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It is also important to increase the frequency of intercourse by having well-timed sex regularly to improve fertility. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Web of Science, in-addition to the relevant printed medical journals and periodicals. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.

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That is why a complete build-up of the endometrial mucosa is not possible anymore. 48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. Infertility may be caused by blockage of the Fallopian tube due to malformations, infections such as chlamydia or scar tissue. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals. The Male-specific Region of the Human Y Chromsome is a Mosaic of Discrete Sequence Classes. (PDF, 754 KB) Nature, 2003. Due to the transfer of several embryos, there is the danger of multiple pregnancies. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Couples will have to consider the ethical and emotional aspects of this procedure. A doctor injects sperm directly into the egg in a dish and then places it into your uterus.