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Renal failure and thrombosis can occur if the patient is not treated correctly. [195] Some patients have a greater risk of developing ovarian hyperstimulation syndrome. Understanding the normal reproductive process is essential in knowing when to seek help. Prior surgeries Certain surgeries may prevent you from having sperm in your ejaculate, including vasectomy, inguinal hernia repairs, scrotal or testicular surgeries, prostate surgeries, and large abdominal surgeries performed for testicular and rectal cancers, among others. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm.

Around one third of couples have difficulty conceiving due to a low sperm count. Treatment of Tubal and Peritoneal Factors The treatment of tubal-factor infertility underwent major changes, especially during the last quarter of the century when microsurgery became available. [126, 127] Tubal reconstruction was the only hope for those patients before assisted reproductive therapy became available.

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There are three main types of fertility treatment: medical treatment (such as ovulation induction therapy); surgical treatment (such as laparoscopy and hysteroscopy); and the different assisted reproduction techniques [37]. Assisted Reproductive Technology: Using Ejaculated, Fresh, and Frozen-thawed Epididymal and Testicular Spermatozoa Gives Rise to Comparable Results after Intracytoplasmic Sperm Injection. (PDF, 5 MB) Fertility and Sterility, 1995. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests.

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Investigations will be requested to prove the clinical diagnosis and to exclude other close possibilities. The WHO lower reference limit (5th percentile) is 15 million sperm per mL, or 39 million sperm per ejaculate.

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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. For some women, these devices do not detect the LH surge, or high levels of LH are a poor predictor of ovulation; this is particularly common in women with PCOS. Most problems are related to premature labor and pregnancy loss. In 10% of cases, alterations in the chemical signals from the hypothalamus can easily seriously affect the ovaries. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Recent Advances in Male Reproductive Surgery. (PDF, 10 MB) Chapter 13 from Annual Progress in Reproductive Medicine, 1993. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.