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Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975. Maternal age Infertility due to age is one of the most common causes of female infertility.

To accomplish this, the literature was searched for the keywords of "Management of infertility, infertile couples" at library website of University of Bristol (MetaLib) by using a cross-search of different medical databases such as ... This can damage the ovaries or fallopian tubes and cause fertility problems. Assisted conception The following methods are currently available for assisted conception.

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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. Management of the infertile couple: an evidence-based protocol. Between 45 and 50 percent of cases are thought to stem from factors that affect the man.

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Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). If they are blocked, it indicates the site of the block. Vasectomy and its Microsurgical Reversal. (PDF, 17 MB) Urologic Clinics of North America, 1978. These time intervals would seem to be reversed; this is an area where public policy trumps science. The epididymis is a coil-like structure in the testicles which helps store and transport sperm.

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Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. High environmental temperature and excessive conditioning resulting in increased body temperature can induce either temporary or permanent azoospermia. A special type of laparoscope called a fertiloscope, which is modified for transvaginal application, can be used. Factors contributing to the formation of antisperm antibodies in women are disturbance of normal immunoregulatory mechanisms, infection, violation of the integrity of the mucous membranes, rape and unprotected oral or anal sex. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. However, it is important to note that they are not necessarily all displayed simultaneously.