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Radiation therapy: This can impair sperm production. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.

Intrauterine insemination is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Microsurgical Aspects of Varicocele. (PDF, 9 MB) Fertility and Sterility, 1979. Assessment of efficacy of varicocele repair for male subfertility: a systematic review. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family.

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Coital frequency is positively correlated with pregnancy rates. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome.

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BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. 8,37 Women in WHO group II, including those who are overweight and who have polycystic ovary syndrome, can benefit from weight loss, exercise, and lifestyle modifications to restore ovulatory cycles and achieve pregnancy. The laboratory evaluation begins with a semen analysis.

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However there is a minimal increased risk of de-novo chromosomal abnormalities in ICSI born babies [46,47] that necessitate counselling of the concerned couples.Infertility is the inability of a person, animal or plant to reproduce by natural means. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. 40 Patients using these agents should be counseled about these risks. Additional risk factors may include smoking, alcohol use, obesity, and older age; however, the data are hampered by a lack of pregnancy-related outcomes. This abnormality is usually surgically corrected in infancy. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels.