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It can either be used to inspect and diagnose certain conditions or to surgically correct an abnormality such as removing scar tissue, endometriosis, or a damaged fallopian tube. The average incidence of infertility is about 15%. In 1981, Semm, from the gynecological clinic of Kiel University, Germany, performed the first laparoscopic appendectomy. The facilities available and the skills of personnel are the major determining factors for the success rate. Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Isodicentric Y Chromosomes and Sex Disorders as Byproducts of Homologous Recombination that Maintains Palindromes. (PDF, 1 MB) Cell, 2009.

A Family of Human Y Chromosomes has Dispersed Throughout Northern Eurasia Despite a 1. Oligozoospermia refers to a low sperm count under 20 million per milliliter. Intrauterine insemination. For this procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you're ovulating.

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Generally, their response to hMG ovulation induction is too brisk or delayed, and predicting whether the patient will respond easily is not possible. Ovulation of the egg occurs approximately 2 weeks before the start of the next period. The Relationship of Abnormal Semen Values to Pregnancy Outcome. (PDF, 770 KB) Chapter 10 from textbook, 1992. Transplantation of Rat Kidneys with Acute Tubular Necrosis into Salt-loaded and Normal Recipients. (PDF, 2 MB)Surgery, 1975. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment.

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Post-ejaculatory urinalysis (urine testing), to check for retrograde ejaculation. Prevalence of Premature Ovarian Failure in Monozygotic and Dizygotic Twins. (PDF, 90 KB) Human Reproduction, 2007.

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Techniques for the Resolution of Testicular Obstruction. (PDF, 8 MB) Chapter 78 from textbook, Reconstructive Urology, 1992. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. Computer-aided semen analysis (CASA) Introduced in the late 1980s, CASA uses a video camera and computer to visualize and analyze sperm concentration and movement. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. Microsurgery in Pediatric Urology. (PDF, 13 MB) The National Foundation, 1977.