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The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery. Varicocele: Surgically removing a varicose vein in the scrotum may help. Sulfasalazine: This anti-inflammatory drug can significantly lower a man's sperm count. However, there are side effects to using fertility drugs, such as ovarian hyperstimulation or the increased chance of developing ovarian tumors.  Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Varicoceles are generally asymptomatic, and most men with varicoceles do not have infertility or testicular atrophy.

The good news is that most cases of male infertility can be resolved either by treating the problem or using fertility treatments. This can be made laparoscopically as well as sonographically. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT.

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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. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. These areas include the fallopian tubes, ovaries, small or large intestine, and the walls of the abdominal cavity and pelvis. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them.

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Blood test: The lab will test for levels of testosterone and other hormones. Oocyte Vitrification – Women’s Emancipation Set in Stone. (PDF, 70 KB) Fertility and Sterility, 2008. Only active, undamaged sperm are chosen for injections.

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This page covers the possible causes of infertility in men and women. Diagnosis Male infertility is usually diagnosed by a semen analysis. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. Definition of Infertility Infertility is defined as the inability to conceive after 12 months of having sexual intercourse with average frequency, without the use of any form of birth control. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. 42 However, none of these methods has been proven to increase pregnancy rates when used to predict timing of intercourse.