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If the sperm are of good quality and the mechanics of the woman's reproductive structures are good (patent fallopian tubes, no adhesions or scarring), a course of ovulation induction maybe used. Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. Afterward, laparoscopy gained rapidly acceptance for non-gynecologic applications. Today, it is feasible by using a gestational carrier. Before anastomosis, evaluate the patient using HSG and laparoscopy findings to measure how far proximal and distal fragments of the fallopian tubes remain from the tubal ligation. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010.

5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These abnormalities are rarely associated with cancer (<1% in a woman before menopause), but polyps are can decrease fertility by up to 50% according to some studies. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. The gonadotropins in these formulations are FSH, and in some cases, a combination of FSH and LH (luteinizing hormone).

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Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43].

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Celiac disease A digestive disorder caused by sensitivity to gluten, celiac disease can cause male infertility. Torsion: Is a common problem affecting fertility that is caused by a supportive tissue abnormality which allows the testes to twist inside the scrotum which is characterized by extreme swelling.  Torsion pinches the blood vessels that feed the testes shut which causes testicular damage.  If emergency surgery is not performed to untwist the testes, torsion can seriously impair fertility and cause permanent infertility if both testes twist.

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You can find much more information about your privacy choices in our privacy policy. Problems with sexual intercourse These can include trouble keeping or maintaining an erection sufficient for sex (erectile dysfunction), premature ejaculation, painful intercourse, anatomical abnormalities such as having a urethral opening beneath the penis (hypospadias), or psychological or relationship problems that interfere with sex. Tumors Cancers and nonmalignant tumors can affect the male reproductive organs directly, through the glands that release hormones related to reproduction, such as the pituitary gland, or through unknown causes. Other medical techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis. Other hormones including inhibin B and leptin, may also be affected by obesity. A smaller amount may suggest a structural or hormonal problem leading to deficient semen production; 2) sperm concentration – normal concentration should be at least 20 million sperm per 1 ml of semen. The woman may be given a low dose of ovary stimulating hormones. Bensdorp AJ, Cohlen BJ, Heineman MJ, Vandekerckhove P. Sperm or egg donation: If necessary, sperm or eggs can be received from a donor. If fimbriectomy was performed, no treatment is available other than IVF. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010. Sherman Silber: Be Fruitful and Multiply. (PDF, 6 MB) Lifestyles Magazine, 1999.