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Diagnosis and Management of Hypogonadism, Infertility, and Impotence. (PDF, 13 MB) Chapter 22 of textbook,Male Reproductive Dysfunction, 1986. In another 30% of all cases, the cause is in the male partner. Several studies have reported different causes of infertility [7-9].

The abnormalities need to be evaluated from a genetic point of view because any male offspring would inherit the same issue as the father. It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.[3] Procedures[edit] Surgeons perform laparoscopic stomach surgery. The predictable pregnancy rate for this group is about 5% after timed intercourse, 10% after superovulation with intrauterine insemination (IUI), and 15% to 25% after assisted reproduction techniques (ART) [41]. Ovulation induction agents increase the risk of multiple pregnancy, ovarian hyperstimulation syndrome, and thrombosis, and they may increase the risk of ovarian cancer in women who remain nulliparous.

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6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation. Risk factors Risk factors that increase the risk include: Smoking significantly increases your risk of infertility Age: The ability to conceive starts to fall around the age of 32 years. It has been suggested that infertility be classified as a form of disability.[22] Causes[edit] Immune infertility[edit] Antisperm antibodies (ASA) have been considered as infertility cause in around 10–30% of infertile couples.[23] In both men and women, ASA production are directed against surface antigens on sperm, which can interfere with sperm motility and transport through the female reproductive tract, inhibiting capacitation and acrosome reaction, impaired fertilization, influence on the implantation process, and impaired growth and development of the embryo.

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Here, the hormones FSH (= follicle stimulating hormone) and LH (= luteinizing hormone) play an important role. There is more controversy regarding intramural fibroids, where larger ones may have an impact and may necessitate removal. First-line therapy is the ultrasound-guided transvaginal puncture.

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Even if you are diagnosed with infertility, you may still be able to conceive.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. 6 Women with risk factors for tubal obstruction, such as endometriosis, previous pelvic infections, or ectopic pregnancy, should instead be offered hysteroscopy or laparoscopy with dye to assess for other pelvic pathology. Mumps: If this occurs after puberty, inflammation of the testicles may affect sperm production. Treatment Possibilities: Female Infertility Depending on the cause of infertility, there are different possibilities for treatment. WHO categorizes ovulatory disorders into three groups: group I is caused by hypothalamic pituitary failure (10%), group II results from dysfunction of hypothalamic-pituitary-ovarian axis (85%), and group III is caused by ovarian failure (5%). There are four parameters analyzed: 1) semen volume – should be at least 1. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids).


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See also
Female Infertility Nhs
Infertility Usa
Female Infertility Literature