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ARTICLES FROM THE 2000s Evaluation and Treatment of Male Infertility. (PDF, 17 MB) Clinical Obstetrics and Gynecology, 2000. In addition, her reproductive tract must allow the eggs and sperm to pass into her fallopian tubes to become fertilized and implanted in the uterus.

By 2014, over 5 million people had been born after being conceived through IVF. Patients with azoospermia or severe oligospermia are more likely to have a chromosomal abnormality (10-15%) than infertile men with sperm density within the reference range (1%). This can reveal signs of endometriosis, scarring, blockages, and some irregularities of the uterus and fallopian tubes. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women.

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Mannitol Induced Central Nervous System Toxicity in Renal Failure. (PDF, 4 MB) Investigative Urology, 1972. Ovarian Transplantation in a Series of Monozygotic Twins Discordant for Ovarian Failure. (PDF, 188 KB) The New England Journal of Medicine, 2007. National Collaborating Centre for Women's and Children's Health. Around 1/3 of infertility cases are caused by fertility problems in men4 1/3 of infertility cases are caused by fertility problems in women4 1/3 of infertility cases are caused by a mixture of male and female problems, or by problems that cannot be determined4 Infertility doesn’t necessarily mean that you won’t ever have children, but you may need the help of fertility treatment to conceive.

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In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. The most common identifiable causes of female fertility problems are outlined below: • Ovulatory dysfunction, (or anovulation) where an egg is not released from the ovary every month, is the single most common cause of female infertility. Physical examination reveals gynecomastia, small testis, and eunuchoid body habitus due to delayed puberty. However, intercourse 3 times a week results in a probability of conception around 50% within 6 months. Endometriosis may be treated through laparoscopic surgery.

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Damaged tubes may interfere with fertilization of the egg and its transport into the uterine cavity. In reproductive medicine, the most common surgical procedures are laparoscopy, hysteroscopy, and abdominal myomectomy (removal of uterine fibroids). Instruments can be introduced through the hysteroscope, allowing the surgeon to remove or correct any anatomic abnormalities. The content of counselling may differ depending on the concerned couple and the existing treatment options. Microsurgery Successful in Vasectomy Reversals. (PDF, 156 KB) The New York Times, 1975. Shaban says that often, there is embarrassment. “Guys confuse libido and potency with fertility. Therefore, we recommend an evaluation if menstrual cycles are infrequent or irregular in a couple attempting pregnancy. Treatment The cost of infertility treatment is high [34]. 3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). For patients wishing to conceive, the medical approach is not indicated, as it delays treatment for infertility. The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips (rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application) made general surgeons more comfortable with making the leap to laparoscopic cholecystectomies (gall bladder removal).