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In 1981, Semm, from the gynecological clinic of Kiel University, Germany, performed the first laparoscopic appendectomy. Endometriosis may be treated through laparoscopic surgery.

Scrotal surgery, including vasectomy, hydrocelectomy (5-6%), and spermatocelectomy (up to 17%), may lead to epididymal injury and subsequent obstruction.[30] Antisperm antibodies Antisperm antibodies bind to sperm, impair motility, and lead to clumping, impairing movement through the female reproductive tract and interaction with the oocyte. The prostate also secretes zinc, phospholipids, phosphatase, and spermine. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.

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Primary infertility When a woman is unable to ever bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth she would be classified as having primary infertility. Vasectomy Reversal. (PDF, 733 KB) The New England Journal of Medicine, 1977. NIH: National Institute of Child Health and Human Development Start Here How Common is Male Infertility, and What Are Its Causes? (National Institute of Child Health and Human Development) Male Infertility (American Academy of Family Physicians) Also in Spanish Male Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Diagnosis and Tests Diagnostic Testing for Male Factor Infertility (American Society for Reproductive Medicine) - PDF Also in Spanish Semen Analysis (National Library of Medicine) Also in Spanish Testosterone Levels Test (National Library of Medicine) Also in Spanish Treatments and Therapies Assisted Reproductive Technology: MedlinePlus Health Topic (National Library of Medicine) Also in Spanish Healthy Sperm: Improving Your Fertility (Mayo Foundation for Medical Education and Research) Also in Spanish Intracytoplasmic Sperm Injection (ICSI) (American Society for Reproductive Medicine) Also in Spanish Intrauterine Insemination (IUI) (Mayo Foundation for Medical Education and Research) Also in Spanish What Treatment Options Are Available for Male Infertility? (National Institute of Child Health and Human Development) Living With Foods That Can Affect Fertility (Academy of Nutrition and Dietetics) Related Issues Fertility Issues in Boys and Men with Cancer (National Cancer Institute) Finasteride (Propecia/Proscar) and Pregnancy (Organization of Teratology Information Specialists) - PDF Low Testosterone and Men's Health (Hormone Health Network) Also in Spanish Optimizing Male Fertility (American Society for Reproductive Medicine) Specifics Dry Orgasm (Orgasm without Discharge of Semen) (Mayo Foundation for Medical Education and Research) Also in Spanish Low Sperm Count (Mayo Foundation for Medical Education and Research) Also in Spanish Sperm Shape (Morphology): Does It Affect Fertility? (American Society for Reproductive Medicine) Also in Spanish Genetics Genetics Home Reference: 48,XXYY syndrome (National Library of Medicine) Genetics Home Reference: CATSPER1-related nonsyndromic male infertility (National Library of Medicine) Genetics Home Reference: congenital bilateral absence of the vas deferens (National Library of Medicine) Genetics Home Reference: globozoospermia (National Library of Medicine) Genetics Home Reference: macrozoospermia (National Library of Medicine) Genetics Home Reference: sensorineural deafness and male infertility (National Library of Medicine) Genetics Home Reference: X-linked adrenal hypoplasia congenita (National Library of Medicine) Genetics Home Reference: Y chromosome infertility (National Library of Medicine) Learning about Klinefelter Syndrome (National Human Genome Research Institute) Videos and Tutorials Causes of Male Infertility (American Society for Reproductive Medicine) Sperm release pathway (Medical Encyclopedia) Also in Spanish Statistics and Research High Plasticizer Levels In Males Linked to Delayed Pregnancy for Female Partners (National Institute of Child Health and Human Development) Infertility Research at the NICHD (National Institute of Child Health and Human Development) Clinical Trials ClinicalTrials.gov: Infertility, Male (National Institutes of Health) ClinicalTrials.Differences between sterility and infertility (primary and secondary) ARE STERILITY AND INFERTILITY THE SAME?

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Fertility Evaluation Procedure Before the medical data are collected, the couple should be informed about the different causes of infertility, the tests and procedures required to make a diagnosis and the various therapeutic possibilities. A needle biopsy of the testicle can show whether a man is making healthy sperm.

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It is better for a couple to see the doctor together. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment. Female infertility has many possible causes, such as irregular ovulation, uterine fibroids, fallopian tube blockage, PCOS, or endometriosis. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization. Outlook For couples who experience fertility problems and those who wish to have children at an older age, there are more options available than ever before. The fertilized egg is then placed back into the uterus. The idea is that for women beyond age 35, every month counts and if made to wait another six months to prove the necessity of medical intervention, the problem could become worse. High-cost treatments are out of financial reach for some couples.