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Prior to Mühe, the only specialty performing laparoscopy on a widespread basis was gynecology, mostly for relatively short, simple procedures such as a diagnostic laparoscopy or tubal ligation. Requirements for Male Fertility (Continued) The ability to transmit the spermatozoa to the female vagina is also important. Testis Biopsy and the Infertile Male. (PDF, 20 MB) Chapter 15 from textbook Office Andrology, 2005.

Alternatively, cabergoline can be used orally or vaginally weekly at a starting dose of 0. 1,2 However, if your partner is 35 years old or over, you or your partner may be considered infertile if you haven’t conceived after 6 months of unprotected sex. Postcoital testing and antisperm antibody testing are no longer considered useful in this evaluation.

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Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. Those who do have fertility problems are treated according to the following guidelines: [112, 113, 114] Chronic cervical factor of absence of mucus - Intrauterine insemination Cervical incompetence - Cerclage Damage/absence of fallopian tubes (ectopic) - In vitro fertilization Unicornuate uterus A unicornuate uterus remains undetected unless fertility is compromised. Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979.

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These abnormalities can also cause irregular bleeding between menstrual cycles. Pregnancy with Sperm Aspiration from the Proximal Head of the Epididymis: A New Treatment for Congenital Absence of the Vas Deferens. (PDF, 2 MB) Fertility and Sterility, 1988. Pretesticular causes of infertility Pretesticular causes of infertility include congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis. Laparoscopy for Cryptorchidism. (PDF, 1 MB) The Journal of Urology, 1980. Ovulation often can be detected by keeping a menstrual calendar or using an ovulation predictor kit. Basic Work-up for Infertility It is very important to remember that infertility can occur as a result of one or more male or female factors.

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However, early referral of infertile couples to a dedicated specialist infertility clinic may be indicated to increase their chance of pregnancy (Table ). It does not affect the couples' life only, but it also affects the healthcare services and social environment [4]. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Primary vs. secondary infertility[edit] Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months, during which they have not used any contraceptives.[14] The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.[15] Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.[15] Thus the distinguishing feature is whether or not the couple have ever had a pregnancy which led to a live birth. 17 Evaluation of male infertility starts with a history and physical examination focusing on previous fertility, pelvic or inguinal surgeries, systemic diseases, and exposures. Article Sections Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. The procedure is performed in an outpatient setting in the vast majority of cases, and recovery time can be as little as a few days. In-vitro fertilization and donor insemination are major procedures involved. Checking testosterone levels is advisable because an elevation above the reference range has a negative feedback effect on sperm production. Microsurgery for Vasectomy Reversal and Vasoepididymostomy. (PDF, 13 MB) Urology, 1984. The volume provides clear guidelines and a logical sequence of steps which will quickly lead the clinician or physician to an accurate diagnosis of the underlying cause of infertility. Anti-Müllerian hormone of less than or equal to 5.