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Refinements in the Methodology of Injection for Transvaginal Gamete Intra-Fallopian Transfer. (PDF, 2 MB) Human Reproduction, 1994. Benign prostatic hyperplasia does not affect fertility. The patients often suffer from appearances of virilization and manlike hair patterns.

Peritubaric adhesions can be caused by endometriosis. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel.

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Small or firm testicles that feel "tight" may be another sign of hormone issues. This can damage the ovaries or fallopian tubes and cause fertility problems. Some personal habits are considered risk factors for infertility, such as excess alcohol intake [11] and cigarette smoking [12]. WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles.

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On the contrary to women, in which is the issue can more commonly be detected, most male fertility issues, other than those caused by infections, are unexplained. This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. If abundant good sperm are found in the testicle, there's likely a blockage somewhere. Although laparoscopic appendectomy has lesser wound problems than open surgery, the former is associated with more intra-abdominal abscesses.[20] Disadvantages[edit] While laparoscopic surgery is clearly advantageous in terms of patient outcomes, the procedure is more difficult from the surgeon's perspective when compared to traditional, open surgery: The surgeon has a limited range of motion at the surgical site, resulting in a loss of dexterity.

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This results in an inability to accurately judge how much force is being applied to tissue as well as a risk of damaging tissue by applying more force than necessary. Tourism[edit] Fertility tourism is the practice of traveling to another country for fertility treatments.[68] It may be regarded as a form of medical tourism. Congenital disorders and chryptorchidism (undescended testicles). When this happens, it causes something called a varicocele. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984.