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Medicines and drugs Certain types of medicines can sometimes cause infertility problems. This technique is called hand-assist laparoscopy. Hypothyroidism has no effect on male libido or semen quality.

These conditions, in which the body’s hormones are imbalanced, make conceiving more difficult.  Vaginal soreness and/or itchiness: Soreness or itchiness, especially in combination with discharge, could mean a vaginal infection. Ovulation disorders About one quarter of infertility cases are due to ovulation disorders. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. If you suspect you are infertile, see your doctor. In particular, small bowel obstruction poses the most significant problem.[30] The use of surgical humidification therapy during laparoscopic surgery may minimise the incidence of adhesion formation.[32] Other techniques to reduce adhesion formation include the use of physical barriers such as films or gels, or broad-coverage fluid agents to separate tissues during healing following surgery.[30] Robotic laparoscopic surgery[edit] A laparoscopic robotic surgery machine. 29 When the semen analysis is abnormal, referral to a male fertility specialist or reproductive endocrinologist is warranted.

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Blood tests Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Your doctor will carry out a series of tests to diagnose what’s causing your fertility difficulties.  There are many reasons why you may have problems conceiving, including:  Your sperm does not have the concentration, motility or shape required to conceive Existing medical conditions that affect your fertility, such as issues with sperm production or duct obstructions  Your sperm may not be strong or healthy enough to fertilise your partner’s egg  As your partner gets older, her fertility quickly declines3 Depending on the cause, your doctor will recommend a treatment path for you. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. 21,22 Evaluation of Women Jump to section + The etiology of female infertility can be broken down into ovulation disorders, uterine abnormalities, tubal obstruction, and peritoneal factors. In GIFT, the sperm and eggs are mixed together before a doctor inserts them.

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Unexplained infertility is not the same thing as having no explanation, but rather reflects the fact that the tests performed have been normal. Fertility treatments for men Treatment will depend on the underlying cause of the infertility. Many of these treatment options may have harmful or unpleasant side effects such as nausea, headaches and weight gain. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family.

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The relation between daily activities and scrotal temperature. Image: “ICSI of marmoset oocytes after in vitro maturation.” by openi. 42 Urinary luteinizing hormone kits indicate the midcycle luteinizing hormone surge that precedes ovulation by one to two days. The vas deferens carries sperm from the epididymis to the ejaculatory duct and the urethra. Clean, Intermittent Self-catheterization in the Treatment of Urinary Tract Disease. (PDF, 2 MB) The Journal of Urology, 1972. Primary infertility is when a couple has not conceived after trying for at least 12 months without using birth control Secondary infertility is when they have previously conceived but are no longer able to. Advising surgery in cases of primary infertility is difficult. 2 This encompasses couples with infertility and impaired ability to get pregnant, but it does not capture those who are not married, so actual numbers may be underestimated. IVF was a major breakthrough because it allowed for successful pregnancies in women that were previous deemed permanently infertile, such as when the fallopian tubes are both markedly damaged.