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A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Oei SG, Helmerhorst FM, Bloemenkamp KW, Hollants FA, Meerpoel DE, Keirse MJ. Obstructions in the sperm transport plumbing can sometimes be surgically corrected.

Role of Epididymis in Sperm Maturation. (PDF, 3 MB) Urology, 1989. Microscopic Vasectomy Reversal 30 Years Later: A Summary of 4010 Cases by the Same Surgeon. (PDF, 295 KB)Journal of Andrology, 2004. These drugs also can also help you get pregnant by causing your ovaries to release multiple eggs.

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There is still some controversy about their existence, but if the discoveries are true, this could mean a new treatment for infertility.[71] Stem cell therapy is really new, and everything is still under investigation. The chance of a multiple birth is lower with an oral fertility drug. No difference in the pregnancy rate occurs if a skillful microsurgeon or laparoscopist performs the salpingostomy. A review of records from other fertility doctors that you have seen is also important. Unexplained fertility affects about 10 percent of couples worldwide.

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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. Signs and Symptoms of Infertility Signs and symptoms of infertility are often related to other underlying conditions. Without an erection, it is difficult for a man to release sperm inside the vagina—and, therefore, difficult to get a woman pregnant.

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Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981. Causes of Sterility in Women In women, the classification of possible causes is much more complex. Graft-versus-host Reactivity and Renal Allograft Survival in Rats Given Allogeneic Spleen Cells or Spleen Allografts.(PDF, 2 MB) Transplantation, 1976. Renal Echinococcus. (PDF, 1 MB) The Journal of Urology, 1972. The fluid comes from the prostate gland, the seminal vesicle, and other sex glands. Linthicum, Md.: American Urological Association, Inc.; 2010. An evaluation by a physician is the only way to sort it out. Follicle-stimulating hormone (Gonal-F, Bravelle): This hormone is produced by the pituitary gland that controls estrogen production by the ovaries.