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He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. 8,45 Figure 1 provides an algorithmic approach to the evaluation of infertility.   Enlarge      Print Infertility Evaluation Figure 1. The fertilized embryo is then transferred to womb. In some cases, your doctor may recommend a procedure known as intracytoplasmic sperm injection (ICSI). According to ESHRE recommendations, couples with an estimated live birth rate of 40% or higher per year are encouraged to continue aiming for a spontaneous pregnancy.[66] Treatment methods for infertility may be grouped as medical or complementary and alternative treatments.

The evaluation of the azoospermic male: AUA best practice statement. IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. 44 Therefore, a simple recommendation is for vaginal intercourse every two to three days to optimize the chance of pregnancy. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation.

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Endometriosis may be treated through laparoscopic surgery. Ovarian Hyperstimulation Syndrome (OHSS) The syndrome occurs due to treatment with medicamentous ovulation inductors.

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Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

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A postcoital test to determine if sperm are able to move through the cervical mucus is still performed by some clinicians. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. For example, endometriosis can cause infertility with the growth of endometrial tissue in the Fallopian tubes or around the ovaries. In all cases, however, the pain is transient, as the body tissues will absorb the CO2 and eliminate it through respiration.[28] Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. Preconception lifestyle advice for people with subfertility. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs.