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The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. If an endocrinopathy, such as hyperprolactinemia, is diagnosed, the underlying cause should be treated. This period is shorter when the female is aged between 35 and 40 and treatment should not be put off in those cases where the woman is aged over 40. Epidemiological definition of infertility (for monitoring and surveillance) Women of reproductive age (15–49 years) at risk of becoming pregnant (not pregnant, sexually active, not using contraception and not lactating) who report trying unsuccessfully for a pregnancy for two years or more. (Reproductive Health Indicators) Infertility as a disability Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability.

Cabergoline is associated with fewer side effects but is more expensive. 8 Evaluation of Men Jump to section + Causes of male infertility include infection, injury, toxin exposures, anatomic variances, chromosomal abnormalities, systemic diseases, and sperm antibodies. Medications Testosterone replacement therapy, long-term anabolic steroid use, cancer medications (chemotherapy), certain antifungal medications, some ulcer drugs and certain other medications can impair sperm production and decrease male fertility. Sexually transmitted infections (STIs): Chlamydia can damage the fallopian tubes in a woman and cause inflammation in a man's scrotum. Rarely, a blood clot may develop in an artery or vein, liver or kidney problems can arise, and respiratory distress may develop.

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43 Other low-cost methods of monitoring for ovulation, although less effective, include basal body temperature measurements and cervical mucus changes. This can be made laparoscopically as well as sonographically. Y Chromosome Deletions in Azoospermic and Severely Oligozoospermic Men Undergoing Intracytoplasmic Sperm Injection after Testicular Sperm Extraction. (PDF, 336 KB) Human Reproduction, 1998. ICSI can be performed when sperm counts are extremely low or abnormal. Unexpected resilience of species with temperature-dependent sex determination at the Cretaceous–Palaeogene boundary. (PDF, 238 KB) Biology Letters, 2010.

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Tests and trials are available, but testing does not always reveal a specific cause. Treatment of Hemorrhage from Renal Trauma by Angiographic Injection of Clot. (PDF, 1 MB) The Journal of Urology, 1978.

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These numbers are comparable to those of other industrialized nations. If sperm appears, these men should be offered cryopreservation. Testicular Neoplasm in Father and Son. (PDF, 561 KB) The Journal of Urology, 1972. Epididymal and Testicular Spermatozoa and Intracytoplasmic Sperm Injection. (PDF, 7 MB) Assisted Reproduction Reviews, 1996. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. Their ability to move (> 60%) and forward progression (more than 2 on a 1-to-4 scale). Infertility and impaired fecundity in the United States, 1982–2010: data from the National Survey of Family Growth.