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Microsurgery and Andrology. (PDF, 5 MB) Chapter from textbook, 1991. Of the successful pregnancies, 85% are achieved within the first 4 cycles of intrauterine inseminations.

The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. A pregnancy where the mother is weak could pose a risk to the baby’s and mother’s health.

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47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. This pill generally is taken from menstrual cycle days 3 – 7. 43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. A small incision is made in the abdomen, and a thin, flexible microscope with a light at the end, called a laparoscope, is inserted through it. Earn up to 6 CME credits per issue.     To see the full article, log in or purchase access. Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year.

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Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Erectile dysfunction or premature ejaculation: Medication, behavioral approaches, or both may help improve fertility. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. Some women are infertile because their ovaries do not mature and release eggs. This may be because the ovaries do not contain eggs.

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ART procedures, such as GIFT, IVF, and ICSI, also can be used in cases of male infertility. In GIFT, the sperm and eggs are mixed together before a doctor inserts them. The Use of Epididymal Sperm in Assisted Reproduction. (PDF, 8 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. Surgical management: - Surgical correction of epididymal block in obstructive azoospermia. - No evidence for surgical treatment of varicocele in infertility. (remains an area of debate) 3. In men who have the necessary reproductive organs to procreate, infertility can be caused by low sperm count due to endocrine problems, drugs, radiation, or infection. American Urological Association Education and Research, Inc. Happily, many couples treated for infertility go on to have babies. Transplantation of a Human Testis for Anorchia. (PDF, 19 MB) Fertility and Sterility, 1978. Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986.