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Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. It will take time until these studies can be available for clinics and patients as a regularity. The pathophysiology of the disease is not well understood, but a massive extravascular accumulation of fluid occurs that is associated with a severe depletion of the intravascular volume responsible for dehydration, hemoconcentration, and electrolyte imbalance (ie, hyponatremia, hyperkalemia). [193] Ovarian hyperstimulation syndrome can be mild, moderate, or severe. [194] Mild ovarian hyperstimulation syndrome is characterized by ovarian enlargement (up to 5-12 cm in diameter), minimal ascites, and weight gain of less than 10 lb.

Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. Edwards; the physiologist who developed the treatment, was awarded the Nobel Prize in Medicine in 2010. Chronic conditions: These include AIDS or cancer. Overweight or obesity: This may reduce the chance of conceiving. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979.

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Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. However, medical treatment can be used to reduce the myoma size prior to removal.

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Other causes of ovulation disorders include ovarian insufficiency and hypothalamic amenorrhea. Testicular Transplantation and Autotransplantation. (PDF, 8 MB) Chapter 22 of textbook, Extracorporeal and Microvascular Surgery, 1982. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy.

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Ongoing Pregnancies and Birth after Intracytoplasmic Sperm Injection with Frozen-thawed Epididymal Spermatozoa. (PDF, 442 KB) Human Reproduction, 1995. Up to 2 percent of men are thought to have suboptimal sperm. Infertility FAQs Male Infertility Best Practice Policy Committee of the American Urological Association & Practice Committee of the American Society of Reproductive Medicine. (2006). Chlamydia test: Chlamydia can affect fertility, but antibiotics can treat it. This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests.