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Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. 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.

Intra-uterine insemination for unexplained subfertility. Hjollund NH, Storgaard L, Ernst E, Bonde JP, Olsen J.

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During the first two years after menarche 50% of the menstrual cycles could be anovulatories. When this happens, it causes something called a varicocele.

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ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990. These risks include: Age (past age 40, men experience more fertility problems). In women, both smoking and alcohol use are associated with lower rates of conception and increased rates of spontaneous abortion.

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Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Additionally, the quality of her eggs also decreases increases the chance of chromosomal abnormalities. 8,46 Obesity impairs fertility and the response to fertility treatments, including in vitro fertilization; therefore, it is advisable to counsel patients who are obese to lose weight before conception or infertility treatments. Transmission of Male Infertility to Future Generations: Lessons from the Y Chromosome. (PDF, 303 KB) Human Reproduction Update, 2002. Effect of male age on fertility: evidence for the decline in male fertility with increasing age. Human chorionic gonadotropin (Ovidrel, Pregnyl): Used together with clomiphene, hMG, and FSH, this can stimulate the follicle to ovulate. Other tests include: ovarian reserve testing, to find out how effective the eggs are after ovulation genetic testing, to see if a genetic abnormality is interfering with fertility pelvic ultrasound, to produce an image of the uterus, fallopian tubes, and ovaries Chlamydia test, which may indicate the need for antibiotic treatment thyroid function test, as this may affect the hormonal balance Complications Some complications can result from infertility and its treatment. Three types are described: A dark (Ad), A pale (Ap), and B cells. For women aged 35, about 94% who have regular unprotected sexual intercourse get pregnant after three years of trying. Full history taking of both partners usually denotes the underlying problem [17-23], (Appendix 1). In fact, nearly 1 in 10 people struggle with infertility.