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The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.[1] Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique. Poor egg quality: Eggs that are damaged or develop genetic abnormalities cannot sustain a pregnancy. The abdomen is usually insufflated with carbon dioxide gas. Recombination Between Palindromes P5 and P1 on the HUman Y Chromosome Causes Massive Deletions and Spermatogenic Failure. (PDF, 786 KB) The American Journal of Human Genetics, 2002.

Malformation of the eggs themselves may complicate conception. Outcome of Intracytoplasmic Sperm Injection with Testicular Spermatozoa in Obstructive and Non-obstructive Azoospermia. (PDF, 426 KB) Human Reproduction, 1996. This may be used if IVF has not been effective, if there has been poor embryo growth rate, and if the woman is older. There is a consistent association of Mycoplasma genitalium infection and female reproductive tract syndromes.

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48 However, there is no firm evidence that preconception counseling leads to increased live birth rates, in part because no studies on this topic have been performed. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Excess alcohol consumption: This may lower male fertility.

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47 Motivational interviewing techniques for modifiable risk factors, such as obesity, tobacco, illicit drugs, and alcohol, can decrease the targeted risk factor. Potential causes are unknown, but it may be related to infection, vascular disease, or bilateral testicular torsion.

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IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems. Spermatogonia rest on the basement membrane and contain dense nuclei and prominent nucleoli. In vitro fertilization[edit] IVF is the most commonly used ART. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. The main reasons for fertility tourism are legal regulation of the sought procedure in the home country, or lower price. It's sometimes done while you're taking meds that help trigger the release of an egg. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.