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Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. If you suspect you are infertile, see your doctor. Even with the testis shielded, radiation therapy below the diaphragm may lead to infertility due to the release of reactive oxygen free radicals.

MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. 18  If the semen analysis result is abnormal, further evaluation is indicated (Table 36–8,10,19,20). ART includes all fertility treatments in which both eggs and sperm are manipulated.

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Other hormones including inhibin B and leptin, may also be affected by obesity. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate.

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Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Once the synechiae have been resected, leaving an intrauterine balloon for 7 days is advisable to prevent a recurrence of adhesions.

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IVF treatment may be suggested if IUI is not successful or appropriate, or if female infertility is a contributing problem. A high serum estradiol level (greater than 60 to 80 pg per mL [220 to 294 pmol per L]) in conjunction with a normal FSH level has also been associated with lower pregnancy rates. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. In some cases, the egg may have matured properly, but the follicle may have failed to burst (or the follicle may have burst without releasing the egg). Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981. Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties, including gastrointestinal surgery (including bariatric procedures for morbid obesity), gynecologic surgery, and urology. Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994.