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16. Investigation of suspected tubal and uterine abnormalities: 1. In fact, nearly 1 in 10 people struggle with infertility. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement.

His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. Submucosal fibroids are the type if fibroid that has clearly been demonstrated to reduce pregnancy rate, roughly by 50%, and removal of which will double pregnancy rate.

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They compete with endogenous GnRH molecules for the pituitary receptors and provoke a massive release of gonadotropins into circulation. 2) Medications to induce egg development and ovulation: The medications that help stimulate the ovary to develop mature eggs for ovulation come in two forms: pills taken by mouth and injections. The patient should start monitoring the urinary LH secretion daily starting on menstrual cycle day 12.

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It is an approach to disseminate the recommended medical care of infertile couple to the practicing clinicians. Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility.

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Females[edit] The following causes of infertility may only be found in females. Omitting unnecessary investigations, in particular couples, could reduce total cost of their infertility management without compromising their success rate. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005. Other hormones including inhibin B and leptin, may also be affected by obesity. The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi.