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Sperm counts can fluctuate, so that several samples may be necessary. Laparoscopy: A thin, flexible tube with a camera at the end is inserted into the abdomen and pelvis, allowing a doctor to look at the fallopian tubes, uterus, and ovaries. Further investigations may be requested according to the clinical presentation and the results of preliminary tests. Reduced hormones may result, which could potentially translate into trouble conceiving. Vitrification of oocytes from endangered Mexican gray wolves (Canis lupus baileyi). (PDF, 319 KB) Theriogenology, 2010. Stem cell therapy[edit] Nowadays, there are several treatments (still in experimentation) related with stem cell therapy.

This can make it difficult for the embryo to implant. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996. Large submucosal uterine fibroids may make the uterus' cavity bigger, increasing the distance the sperm has to travel.

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In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). National Collaborating Centre for Women's and Children's Health. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. Surgical procedure to conserve the uterus for future pregnancy in patients suffering from massive adenomyosis.(PDF, 958 KB) Reproductive BioMedicine Online, 2010.

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In this case, your doctor may recommend advanced fertility treatment — assisted reproductive technologies (ART) treatment. Your physician will refer you to a reproductive urologist if appropriate. However, given that fertility in women is known to decline steadily with age, some providers evaluate and treat women aged ≥35 years after 6 months of intercourse without the use of contraception (1). Men can still ejaculate with a low sperm count or poor-quality sperm.

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Epidemiology[edit] Prevalence of infertility varies depending on the definition, i.e. on the time span involved in the failure to conceive. Chemotherapy: Some chemotherapy drugs can result in ovarian failure. Anabolic steroids: Popular with bodybuilders and athletes, long-term use can seriously reduce sperm count and mobility. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. Mental stress: This may affect female ovulation and male sperm production and can lead to reduced sexual activity. In women whose ovulation is suppressed by hyperprolactinemia (high blood levels of the pituitary hormone prolactin), ovulation may be induced with prolactin-suppressing drugs.