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After repair, 40-70% of patients have improved semen parameters, while 40% are able to impregnate their partner without other interventions. Additionally, surgery, radiation or chemotherapy to treat tumors can affect male fertility. Sperm production problems One of the most common causes of male infertility is problems with sperm production. Patients with hyperthyroidism or hypothyroidism must be treated accordingly. [210, 211] Weight reduction should be part of the treatment because it helps the patient's response to ovulation induction. [212] Treatment of Male Factors Asthenospermia associated with varicocele is treated surgically with varicocelectomy or with embolization of the spermatic veins.

Suspect antisperm antibodies when semen analysis reveals abnormal clumping, agglutination, unexplained decreased motility, or an abnormal postcoital test result. Histologic endometrial dating is not considered reliable nor is it predictive of fertility.

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The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips (rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application) made general surgeons more comfortable with making the leap to laparoscopic cholecystectomies (gall bladder removal). Semm established several standard procedures that were regularly performed, such as ovarian cyst enucleation, myomectomy, treatment of ectopic pregnancy and finally laparoscopic-assisted vaginal hysterectomy (nowadays termed as cervical intra-fascial Semm hysterectomy). This means it’s more difficult to become pregnant and the chance of miscarriage is higher.  Unexplained infertility  Sometimes, doctors are unable to find the reason for infertility, despite running the required fertility tests. Secondary spermatocytes contain smaller nuclei with fine chromatin. Fertility Evaluation: General and Sexual History A detailed history includes: General history  This includes occupation and background, use of tobacco, alcohol and drugs, earlier diseases, history of abdominal surgery and earlier infections. Perspectives on infertility consultations in primary care: a qualitative study.

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A Modern View of Male Infertility. (PDF, 7 MB) From The Infertile Male: Advanced Assisted Reproductive Technology, 1994. Temperature charting is a useful way of providing early clues about anovulation, and can help gynaecologists in their diagnosis.

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38,39 Family physicians may choose to attempt ovulation induction in anovulatory women (WHO group II) with clomiphene. The more fetuses there are, the higher the risk of premature labor. First, ovarian stimulation takes place; therefore, the patient initially is pre-treated with GnRH-antagonists. Genetics of Male Infertility: Evolution of the X and Y Chromosome and Transmission of Male Infertility to Future Generations. (PDF, 10 MB) Chapter 5 from Essential IVF, 2004. When a man ejaculates and releases semen through the penis, the seminal fluid, or semen, helps transport the sperm toward the egg. Non-steroidal anti-inflammatory drugs (NSAIDs): Long-term use of aspirin or ibuprofen may make it harder to conceive. Some women have bilateral tubal occlusion, which is when both tubes are blocked. As a woman gets older, the number of her eggs decreases rapidly.