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Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. High-cost treatments are out of financial reach for some couples. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby.

For women over age 35, that timeline is reduced to six months. The sperm can either be mixed with the eggs to allow normal fertilization (conventional insemination) or by injecting one sperm into each mature egg (ICSI).

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This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. For conception to take place, several events should happen correctly and at exactly the right time. Varicocele: Surgically removing a varicose vein in the scrotum may help.

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This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). In men, exposure to lead can reduce both sex drive and sperm count. 8,26,27 As opposed to laparoscopy or hysteroscopy, hysterosalpingography is a minimally invasive procedure with potentially therapeutic effects and should be considered before more invasive methods of assessing tubal patency. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010. Linthicum, Md.: American Urological Association, Inc.; 2010.

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If the egg does not travel, it can be harder to conceive naturally. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Done as part of an IVF treatment, ICSI involves injecting a single sperm into an egg. 3) Tubal occlusion (blockage): As discussed previously, a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. World Health Organization reference values for human semen characteristics.