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In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. His first atlas, More Details on Pelviscopy and Hysteroscopy was published in 1976, a slide atlas on pelviscopy, hysteroscopy, and fetoscopy in 1979, and his books on gynecological endoscopic surgery in German, English, and many other languages in 1984, 1987, and 2002. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems.

Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. 34 Although intrauterine insemination has been shown to be equally effective as timed intercourse in unstimulated cycles, there is a modest increase in live birth rates when combined with ovarian stimulation. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. The impact of fibroids located elsewhere in the uterus are controversial and do not always require surgery.

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The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information. IUI with the partner’s sperm can be used as a potentially effective treatment for infertility in women under age of 45 except for cases with tubal blockage, very poor egg quality, ovarian failure and severe male factor infertility (very low sperm count or very poor sperm shape or mobility). Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992.

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Prolactinoma A prolactin-secreting adenoma is the most common functional pituitary tumor. Additional information regarding infertility is available at .

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Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. If the GI symptoms persist, the medication can be administered intravaginally. 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. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. The most commonly prescribed pill to stimulate ovulation (generally of one mature egg) is clomiphene citrate. They include: Clomifene (Clomid, Serophene): This encourages ovulation in those who ovulate either irregularly or not at all, because of PCOS or another disorder. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation. National Collaborating Centre for Women's and Children's Health.