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An increased volume is rarely observed and is often caused by a contaminant, such as urine. If the obstruction is caused by salpingitis isthmica nodosa or fibrosis, the best results are achieved through IVF. [142] Surgical preparation for IVF While the surgeon should be as conservative as possible, he or she should consider that the patient is better served with a single well-functioning fallopian tube than with 2 defective tubes, which elicits an increased risk for ectopic pregnancy or recurrence of pelvic adhesions.

Those advertisers use tracking technologies to collect information about your activity on our sites and applications and across the Internet and your other apps and devices. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Abnormal semen may not be able to carry the sperm effectively. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. However, future pregnancy is possible with the other ovary and tube. Adolescents with a varicocele and testicular atrophy or lack of growth should similarly consider repair.

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Females[edit] The following causes of infertility may only be found in females. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33].

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Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can.

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Experts differ as to when genetic tests should be done. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. Endometriosis can only be confirmed by surgery, usually laparoscopy. Adhesions with the surrounding tissue can develop as well, and reduce the motility of the tubes. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Abnormalities of sperm may be treated with gonadotropin therapy, intrauterine insemination, or in vitro fertilization. 6-Mb Deletion of the Human Y Chromosome Persists Through Balance Between Recurrent Mutation and Haploid Selection. (PDF, 295 KB) Nature Genetics, 2003.