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Small calculi may block the ejaculatory ducts, or prostatic cysts may extrinsically block the ducts. In women, lead poisoning reduces conceptions and increases the risk of fetal wastage. Intravenous fluids (ie, isotonic sodium chloride solution) must be administered until hemodilution is achieved. Surgical residents who wish to focus on this area of surgery gain additional laparoscopic surgery training during one or two years of fellowship after completing their basic surgical residency. 6,28 Additionally, postcoital testing of cervical mucus is no longer recommended because it does not affect clinical management or predict the inability to conceive. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007.

The surgeon can remove implants and scar tissue, and this may reduce pain and aid fertility. Bromocriptine (Parlodel): This drug inhibits prolactin production.

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About 92 out of 100 couples who are trying to get pregnant do so within two years.[citation needed] Women become less fertile as they get older. One of the requirements for this procedure is that a woman should have at least 1 undamaged fallopian tube.

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Conventional IVF vs ICSI (Intra Cytoplasmic Sperm Injection) for Patients Requiring Microsurgical Epididymal Sperm Aspiration (MESA). (PDF, 4 MB) Chapter from textbook, Frontiers in Endocrinology: Perspectives on Assisted Reproduction, 1994. IVF and related techniques (ICSI, ZIFT, GIFT) are called assisted reproductive technology (ART) techniques.

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Due to the transfer of several embryos, there is the danger of multiple pregnancies. The advent of computer chip-based television cameras was a seminal event in the field of laparoscopy. These men are at a higher risk for breast cancer, leukemia, diabetes, empty sella syndrome, and pituitary tumors. Epididymal Surgery. (PDF, 8 MB) Chapter 8 from textbook, Infertility, 1992. Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. Sterility can affect both men and women, with the cause involving either one or both parties. Down syndrome These patients have mild testicular dysfunction with varying degrees of reduction in germ cell number. Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Ovulation-inducing drugs and ovarian cancer risk: results from an extended follow-up of a large United States infertility cohort. A specific portion of the androgen receptor gene, exon 1, has been studied in infertile males and a meta-analysis that involved males with idiopathic infertility and fertile controls found that infertility was directly correlated with the length of CAG repeats in this exon.[23] Y chromosome microdeletion syndrome The long arm of the Y chromosome (Yq) is considered critical for fertility, especially Yq11. A frequency of intercourse less than once per week results in a probability of conception of about 17% within 6 months.