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3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy.

Intracytoplasmic Sperm Injection and Infertility. (PDF, 53 KB) Nature Genetics, 2001. Growth of Baby Kidneys Transplanted into Adults. (PDF, 1 MB) Archives of Surgery, 1976. It is better for a couple to see the doctor together.

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1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. The rod-lens based laparoscopes dominate overwhelmingly in practice, due to their fine optical resolution (50 µm typically, dependant on the aperture size used in the objective lens), and the image quality can be better than that of the digital camera if necessary.

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Other causes may include: Genetic factors: A man should have an X and Y chromosome. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973. In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before. 4) In Vitro Fertilization (IVF): In vitro means “outside the body.” IVF is a process whereby eggs are collected and then fertilized by sperm outside the body, in an embryology laboratory. Several days later, embryos -- or fertilized eggs -- get put back into your uterus with a device called an intrauterine insemination catheter. Damaged Sperm Ducts: Seven percent of infertile men cannot transport sperm from their testicles to out of their penis.  This pathway may be blocked by a number of conditions: · A genetic or developmental mistake may block or cause the absence of one or both tubes (which   transport the sperm from the testes to the penis). · Scarring from tuberculosis or some STDs may block the epididymis or tubes. · An elective or accidental vasectomy may interrupt tube continuity.

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Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Factors Affecting Fertility: Frequency of Intercourse Various factors may adversely affect fertility. Combined infertility[edit] In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. Unfortunately, tubal cauterization destroys a large amount of tissue, so the amount of fallopian tube remaining is often not long enough to facilitate a successful reanastomosis.