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ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

Obesity and increased risk for oligozoospermia and azoospermia. Evaluation of cervical mucus is unreliable; therefore, investigation is not helpful with the management of infertility.

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Because ovarian hyperstimulation syndrome does not occur, the patient's response is slow. Successful Autotransplantation of an Intra-abdominal Testis to the Scrotum by Microvascular Technique. (PDF, 11 MB) The Journal of Urology, 1976. Once a diagnosis has been made, you and your partner can consider the various treatment options. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious.

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Treatment of tubal obstruction generally requires referral for subspecialty care. Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J.

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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. A Series of Monozygotic Twins Discordant for Ovarian Failure: Ovary Transplantation (Cortical versus Microvascular) and Crypreservation. (PDF, 791 KB) Human Reproduction, 2008. The emotional toll on both partners can affect their relationship. Normal uterine implantation can therefore not occur. Algorithm for infertility evaluation. (ART = assisted reproductive technology.) Infertility Evaluation Figure 1. 1 Infertility is medically defined as the inability to conceive after 12 months of unprotected sex. Secondary infertility When a woman is unable to bear a child, either due to the inability to become pregnant or the inability to carry a pregnancy to a live birth following either a previous pregnancy or a previous ability to carry a pregnancy to a live birth, she would be classified as having secondary infertility. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods.