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Microsurgery for the Undescended Testicle. (PDF, 5 MB) Urologic Clinics of North America, 1982. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976.

The search included meta-analyses, randomized controlled trials, clinical trials, and systematic reviews. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Assisted conception The following methods are currently available for assisted conception. As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time.

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Silent Sorority: A Barren Woman Gets Busy, Angry, Lost and Found.Fertility What is Normal Fertility and When Does it Become Infertility? IVF in action Intracytoplasmic sperm injection (ICSI): A single sperm is injected into an egg to achieve fertilization during an IVF procedure. Problems with any of these steps may lead to infertility.Birth outcomes are compared after elective cryopreservation and delayed transfer versus fresh embryo transfer.Semen analysis The semen analysis is the cornerstone of the male infertility workup.

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Abdominal myomectomy is a surgical procedure performed through a very low horizontal abdominal incision allowing access to the uterus for removal of fibroids. Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006.

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Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. If you and your partner agree, extra embryos can be frozen and saved to use later. Women with regular menstrual cycles are likely to be ovulating and should be offered serum progesterone testing at day 21 to confirm ovulation. If stem cells remain viable after radiation therapy, patients may regain fertility within several years. Problems with the female reproductive system can also contribute to fertility issues.Table of contents Causes in men Causes in women Treatment Types Diagnosis Complications Outlook It may be that one partner cannot contribute to conception, or that a woman is unable to carry a pregnancy to full term. Drugs, assisted reproductive technology, and surgery are common treatments. A cumulative pregnancy rate of 80% is achieved during the first 6 cycles of therapeutic insemination. Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. Female factor Dysfunction of the female reproductive organs is also apparent in around 40% of infertile couples. A Modern Approach to Male Infertility. (PDF, 2 MB) Serono Symposia, Insights Into Infertility Newsletter, 1997.