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He also developed a medical instrument company Wisap in Munich, Germany, which still produces various endoscopic instruments of high quality. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. The Strassman metroplasty consists of performing an incision at the fundus of the uterus between both cornual areas and closing the defect with an anteroposterior suture. PDF Articles by Decade: 1970s | 1980s | 1990s | 2000s | 2010s ARTICLES FROM THE 1970s Active Lupus Glomerulitis and Hematoxylin Bodies with Normal Urinalysis. (PDF, 5 MB) The Journal of Urology, 1971. Surgery for epididymal blockage: A blocked epididymis can be surgically repaired.

Intrauterine insemination is performed during a natural cycle or after ovulation induction with CC or gonadotropins. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. With irregular periods, the cycle is so unpredictable that it’s impossible to know when the next one will come. In addition to functioning as a conduit, the vas also has absorptive and secretory properties. 30–32 Other treatment options include antiestrogens and gonadotropin therapy, which showed a trend toward increased live birth rates in a Cochrane review.

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Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Practice Committee of the American Society for Reproductive Medicine.

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Dealing with Fertility Problems After Vasectomy Reversal. (PDF, 7 MB) Contemporary OB/GYN, 1978. Most of infertile couples are aware of what can be offered to them from the media. A combination of all of these conditions is accordingly termed oligoasthenoteratozoospermia or short OAT syndrome. 6 Accuracy may be improved by use on midday or evening urine specimens, which correlate better with the peak in serum luteinizing hormone levels. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility.

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Ovulation induction and intrauterine insemination are used after completion of the treatment in hopes of expediting the establishment of a pregnancy before relapse of the disease. [39, 157, 158] Treatment of Ovarian Factors Ovulation induction is the appropriate treatment for infertile patients who have dysfunction of the hypothalamic-pituitary-ovarian axis. Your physician will examine you carefully to determine if you have fibroids and if removal is necessary. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy. Legal, cultural and religious inquiries have limited the available choices in some countries, such as the use of donor sperms or oocytes. Seventy-five percent of patients have testicular atrophy and primary testicular failure due to degeneration of the seminiferous tubules. The hypothalamus acts on the false information that the estrogen level in circulation is low, increasing production of FSH and LH, thus stimulating follicular growth. For patients with a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation with hysteroscopy or laparoscopy is recommended. Alcohol: Any amount of alcohol consumption can affect the chances of conceiving. HMG contains equal quantities of FSH and LH and are administered intramuscularly. 9 Because anxiety over infertility may cause increased stress and decreased libido, further compounding the problem, formal counseling is encouraged for couples experiencing infertility. New Concepts in Operative Andrology: A Review. (PDF, 7 MB) International Journal of Andrology, 2000. As a woman gets older, the number of her eggs decreases rapidly. Illegal drugs: Consumption of marijuana and cocaine can lower the sperm count. Advances in assisted reproductive technologies, such as IVF, can offer hope to many couples where treatment is available, although barriers exist in terms of medical coverage and affordability.