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Although tubal disease was the original indication for IVF, many more indications have developed over the years. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981.

389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980. B.: No role for basal body temperature charts) Basic Work-up for Infertility 14. Ovarian reserve -More important in >35 years old, suspected ovarian failure and to detect response to ovulation induction. Treatment of tubal obstruction generally requires referral for subspecialty care. The etiology is unknown but is probably multifactorial.

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Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. Apparent Fertility of Human Spermatozoa from the Caput Epididymidis. (PDF, 4 MB) Journal of Andrology, 1989. Understanding the normal reproductive process is essential in knowing when to seek help. However, a survey has suggested that the 3 days most likely to offer a fertile window are the 2 days before ovulation plus the 1 day of ovulation. A mouse study has suggested that ingredients in some household detergents may reduce fertility.

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Motility, adhesions and focusses of endometriosis can precisely be assessed by laparoscopy with blue instillation. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. In addition, infertility is considered also a public problem. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

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Some causes, such as hyperprolactinemia, are reversible with proper treatment. The Intra-abdominal Testes: Microvascular Autotransplantation. (PDF, 4 MB) The Journal of Urology, 1981. Three regions have been described, called azoospermic factors a, b, and c (AZFa, AZFb, AZFc).[24] These deletions are observed in 3-19% of patients with idiopathic infertility and 6-14% of patients with oligospermia, although up to 7% of patients with other known causes of infertility may also be found to have a deletion. Reproductive Biology. (PDF, 147 KB) The Scientist, 1996. 6,8 It is important for primary care physicians to be familiar with the workup and prognosis for infertile couples. Tests and trials are available, but testing does not always reveal a specific cause. Prolonged anestrus may be congenital or acquired. PID is a major cause of tubal infertility and can lead to ectopic pregnancy, which may further damage the reproductive system. Germ cells interdigitate with the Sertoli cells and undergo ordered maturation, migrating toward the lumen as they mature. When the big veins heat the testes too much, the heat damages the sperm. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Surgical treatment Surgical treatment should be directed at destroying the disease using electrocoagulation, laser vaporization, endocoagulation, or excision. [84] Removal of endometriomas and lysis of adhesions complete the treatment. Their ability to move (> 60%) and forward progression (more than 2 on a 1-to-4 scale). American Urological Association Education and Research, Inc.