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Partners may become more anxious to conceive, increasing sexual dysfunction.[17] Marital discord often develops, especially when they are under pressure to make medical decisions. European Association of Urology guidelines on male infertility: the 2012 update.

It does not include procedures in which only sperm are manipulated, such as intrauterine insemination, or procedures in which a woman takes drugs only to stimulate egg production, without the intention of having eggs retrieved. Simultaneous Treatment of the Wife in Infertile Couples with Oligospermia. (PDF, 4 MB) Fertility and Sterility, 1983. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1).

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Of the successful pregnancies, 85% are achieved within the first 4 cycles of intrauterine inseminations. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Nevertheless, scientists have found these stem cells, which may generate new oocites in postnatal conditions.

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As the rate of getting spontaneous pregnancy among infertile or subfertile couples is lower than that among normal fertile population, it is recommended to carry out the following diagnostic, evidence-based, work-up to detect any hidden treatable cause. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Journal of Andrology, 1980. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. The transit time varies with age and sexual activity but is usually from 1-12 days. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Web of Science, in-addition to the relevant printed medical journals and periodicals. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. Traumatic Renal Hemorrhage Treatment by Arterial Embolization. (PDF, 3 MB) The Journal of Urology, 1973.