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There are different studies, for both women and men.[69] Spermatogonial stem cells trasplant: it takes places in the seminiferous tubule. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Some medications increase the risk of fertility problems in men. Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity. Use of clomiphene citrate in infertile women: a committee opinion.

Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. New Treatment for Infertility Due to Congenital Absence of Vas Deferens. (PDF, 1 MB) The Lancet, 1987. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005.

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In certain advanced laparoscopic procedures, where the size of the specimen being removed would be too large to pull out through a trocar site (as would be done with a gallbladder), an incision larger than 10 mm must be made. Ovarian dysfunction, when a woman’s ovaries are not producing eggs, or egg production has diminished due to hormonal imbalance, age or other factors.

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Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. About 25% of all infertility is caused by a sperm defect and 40-50% of infertility cases have a sperm defect as the main cause, or a contributing cause. Submucosal fibroids: Benign or non-cancerous tumors occur in the muscular wall of the uterus. Fertility Evaluation: Obstetric and Gynecological History The obstetric and gynecological history should include: Reproductive history (children, mode of delivery, prematurity, stillbirth, extrauterine pregnancy, spontaneous and induced abortion, fertility and infertility in earlier relationships). This can be made laparoscopically as well as sonographically.

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No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. S. women, or 6% of the married population 15 to 44 years of age, reported infertility, and 6. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. The presence of anti-sperm antibodies have been found in infertile men, and suppression of these antibodies with corticosteroid treatment has improved the semen quality and increased the rate of conception. Laparoscopy is an operation performed in the abdomen or pelvis through small incisions, generally no more than a centimeter, with the assistance of a laparoscope attached to a camera which projects to a screen. It will take time until these studies can be available for clinics and patients as a regularity. For these reasons, minimally invasive surgery has emerged as a highly competitive new sub-specialty within various fields of surgery. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Other hormones including inhibin B and leptin, may also be affected by obesity.