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Surgical procedures are now rarely used because of the high success rate of other infertility treatments.  IUI: Fertility doctors may also recommend intrauterine insemination or IUI. Cervical factors are also thought to play a minor role, although they are rarely the sole cause.

Normal immunologic responses to accommodate sperm and conceptus. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease.

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Patients should undergo an MRI or CT scan of the sella turcica for diagnostic purposes to determine whether a microprolactinoma or a macroprolactinoma is present. 8 These studies are more sensitive and may delineate an abnormally formed uterus or structural problems, such as fibroids. These sperm show a high level of retained cytoplasmic droplets around the mid piece. In 1981, Semm, from the gynecological clinic of Kiel University, Germany, performed the first laparoscopic appendectomy.

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Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman's reproductive tract, in a procedure called embryo transfer. It has been proven useful in overcoming infertility conditions, such as blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count.

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Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. An Azoospermic Man with a do novo Point Mutation in the Y-chromosome Gene USP9Y. (PDF, 381 KB) Nature Genetics, 1999. The woman may be given a low dose of ovary stimulating hormones. Women receiving fertility treatment have a slightly higher risk of an ectopic pregnancy. If he has two X chromosomes and one Y chromosome, as in Klinefelter's syndrome, the testicles will develop abnormally and there will be low testosterone and a low sperm count or no sperm. In response to FSH stimulation at puberty, germ cells become spermatogonia and undergo an ordered maturation to become spermatozoa. First Fallopian Tube-Ovary Transplant Carried Out. (PDF, 2 MB) Welcome Trends in Ob/Gyn, 1985. If this is unsuccessful, the decision which form of artificial insemination is going to be used is made individually.