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The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. RE: The Impalpable Testis: A Rational Approach to Management. (PDF, 389 KB) The Journal of Urology, 1979. Demographic definitions of infertility An inability of those of reproductive age (15-49 years) to become or remain pregnant within five years of exposure to pregnancy. (DHS2) An inability to become pregnant with a live birth, within five years of exposure based upon a consistent union status, lack of contraceptive use, non-lactating and maintaining a desire for a child. (Trends in prevalence4).

Laparoscopy with hydrotubation - if the clinical situation suggests this is required . 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).

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For example, polycystic ovarian syndrome is when the eggs only partially developed within the ovary and there is an excess of male hormones. The normal working of the male reproductive system involves first the production of sufficient numbers of functional sperm cells and then the delivery of these sperm to the ejaculate.

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This applies to the ability to conceive with her eggs, but not with donor eggs. Varicocele: Surgically removing a varicose vein in the scrotum may help. This mucus mainly affects the lungs, but males may also have a missing or obstructed vas deferens. Fertility: assessment and treatment for people with fertility problems.

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38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. Unexplained fertility affects about 10 percent of couples worldwide. Linthicum, Md.: American Urological Association, Inc.; 2010. Ovulation disorders appear to be the most common cause of infertility in women. The eggs may never be released or they may only be released in some cycles. Vasectomy and Vasectomy Reversal. (PDF, 7 MB) Fertility and Sterility, 1978. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended.