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Hystersalpingography (HSG): Further investigations 17. Investigation of suspected tubal and uterine abnormalities: 2. The more fetuses there are, the higher the risk of premature labor. The sperm is washed in a fluid and the best specimens are selected.

However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). Four alternatives are currently available to treat endometriosis: expectant therapy, surgical intervention, medical treatment, and combined therapy.

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ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. Vause TD, Cheung AP, Sierra S, et al.; Society of Obstetricians and Gynecologists of Canada. Antisperm antibodies may form when the blood-testis barrier is breached because of infection, vasectomy, testicular torsion, cryptorchidism, or testicular trauma. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4].

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In addition, loss of peripheral visual fields bilaterally may be due to compression of the optic chiasm by the growing pituitary tumor. The diagnostic charts, which may be photocopied, provide an unambiguous route to diagnosis of the underlying cause of infertility, whilst the text fully explains and describes the essential clinical tests. Existing definitions of infertility lack uniformity, rendering comparisons in prevalence between countries or over time problematic. If the correction is not done, it may be harder for the sperm to get to the female's cervix.

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The epididymis is a 3- to 4-cm long structure with a tubular length of 4-5 m. Symptoms of hormonal imbalance: Sudden weight gain, hair loss, constant fatigue, edema, headaches, nipple discharge, facial hair, or severe acne are all signs of possible hormonal disorders. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. Broekmans FJ, Kwee J, Hendriks DJ, Mol BW, Lambalk CB. They may benefit from referral to a physician comfortable with prescribing pulsatile administration of gonadotropin-releasing hormone or gonadotropins with luteinizing hormone activity to induce ovulation.