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Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. 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.

For example, 10 to 15 percent of untreated chlamydia cases will lead to pelvic inflammatory disease (PID). Female and male factors are equally responsible for infertility.

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One of such conditions is a varicocele – one of the major causes of male infertility – that occurs when a vein that carries blood out of the scrotum dilates. In these methods, fertilization occurs inside the body. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT.

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Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. This results in normal or enhanced follicular recruitment without the risk of multiple ovulation and ovarian hyperstimulation syndrome. And about 15% of infertile men have normal semen and plenty of normal sperm.

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Due to the transfer of several embryos, there is the danger of multiple pregnancies. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. Varicocele: Surgically removing a varicose vein in the scrotum may help. Women older than 35 years or couples with known risk factors for infertility may warrant evaluation at six months. Infertility is defined as the inability to become pregnant after 12 months of regular, unprotected intercourse. The 2 techniques are the Strassman metroplasty and the Jones metroplasty. If a woman has cycles at intervals of greater than 35 days, it may indicate that she is not ovulating an egg predictably, or even at all. In some couples who have been unable to reproduce, tests fail to find the cause of infertility. If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. 1) Advancing maternal age: Historically before the latter 20th century, women were conceiving in their teens and twenties, when age-related abnormalities with the egg were not evident. Histologically, Leydig cells are polygonal with eosinophilic cytoplasm.