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Microsurgical Reversal of Tubal Sterilization: Factors Affecting Pregnancy Rate, with Long-term Follow-up. (PDF, 2 MB) Obstetrics & Gynecology, 1984. If abundant good sperm are found in the testicle, there's likely a blockage somewhere. Thoracentesis is rarely indicated in cases of pleural effusion.

In some couples who have been unable to reproduce, tests fail to find the cause of infertility. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Pregnancy Caused by Sperm from Vasa Efferentia. (PDF, 1 MB) Fertility and Sterility, 1988. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

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Tests and trials are available, but testing does not always reveal a specific cause. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43].

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Semen and sperm Sometimes the sperm cannot travel effectively to meet the egg. Tests and trials are available, but testing does not always reveal a specific cause.

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The medicalization of infertility has unwittingly led to a disregard for the emotional responses that couples experience, which include distress, loss of control, stigmatization, and a disruption in the developmental trajectory of adulthood.[16] Infertility may have psychological effects. Previous pelvic surgeries involving the fallopian tubes can also increase your chances of infertility. The procedure is done during the premenstrual phase, approximately 12 days after presumed ovulation to see if the endometrium undergoes expected changes. This is taken from the vaginal vault as well as from the cervical canal. Eating disorders such as anorexia nervosa are also associated with extremely low BMI. Ross says it might suggest a blockage in the “plumbing” that can be corrected with surgery. Some suggest that the number of times a couple has intercourse should be reduced to increase sperm supply, but this is unlikely to make a difference. About 85 percent of male-female couples will be able to get pregnant within 12 months of trying.