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This technological innovation provided the means to project a magnified view of the operative field onto a monitor and, at the same time, freed both the operating surgeon's hands, thereby facilitating performance of complex laparoscopic procedures. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. Risk factors for the formation of antisperm antibodies in men include the breakdown of the blood‑testis barrier, trauma and surgery, orchitis, varicocele, infections, prostatitis, testicular cancer, failure of immunosuppression and unprotected receptive anal or oral sex with men.[23][24] Sexually transmitted infections[edit] Infections with the following sexually transmitted pathogens have a negative effect on fertility: Chlamydia trachomatis and Neisseria gonorrhoeae. Infertility in women Infertility is most commonly caused by problems with ovulation, the monthly release of an egg.

Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. This method takes several weeks and daily hormone injections are needed to ensure successful implantation. What decreases a man’s chance of impregnating a woman? The more fetuses there are, the higher the risk of premature labor. Most of infertile couples are aware of what can be offered to them from the media.

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0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1. 6 The initial history should cover menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and outcomes, pelvic infections, medication use, occupational exposures, substance abuse, alcohol intake, tobacco use, and previous surgery on reproductive organs. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Chromosomal Abnormalities in Embryos Derived from Testicular Sperm Extraction. (PDF, 324 KB) Fertility and Sterility, 2003.

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Studies on Testicular Biopsies from Vasectomized Men. (PDF, 18 MB) Chapter 21 from Vasectomy: Immunologic and Pathophysiologic Effects in Animals and Man, 1979. In current practice, an alternative for patients with more than 5 sizable follicles is to convert the treatment to IVF. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

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Then, generally one or two embryos, which have demonstrated appropriate development, are carefully and gently transferred into the uterine cavity. An ovarian insufficiency can also occur from the decreased release of gonadotropins. Debate over whether health insurance companies (e.g. in the US) should be required to cover infertility treatment. Once a diagnosis has been made, you and your partner can consider the various treatment options. Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Men with Infertility Caused by AZFc Deletion can Produce Sons by Intracytoplasmic Sperm Injection, but are Likely to Transmit the Deletion and Infertility. (PDF, 102 KB) Human Reproduction, 1999. One third of the time, it is a problem with the woman. Low weight: Obesity is not the only way in which weight can impact fertility.