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Specific surgical instruments used in a laparoscopic surgery include forceps, scissors, probes, dissectors, hooks, and retractors. Embryo Development after ICSI Using Testicular, Epididymal and Ejaculated Spermatozoa. (PDF, 2 MB) Frontiers in Endocrinology, 1995. For those that do not, infertility of either the male or female partner could be the reason. Medical manipulation with prostaglandins is usually unrewarding, and ovariectomy with histopathology is indicated.

3,4  Infertility may arise from male factors, female factors, or a combination of these (Table 15–8). Tubal obstruction and lysis of adhesions can be corrected through laparotomy, operative laparoscopy, and, in special circumstances, through operative hysteroscopy and tubal cannulation.

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The initial result of the procedure is not detected before 3 months because spermatogenesis takes 72 days. 8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility.

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Symptoms can also depend on what is causing the infertility. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia). Serum gonadotrophins (follicle-stimulating hormone and luteinising hormone) on Day2-3 especially in irregular periods. (N. Hormonal abnormalities can sometimes be treated with medicine or surgery. The maximum recommended dosage is 150 mg/day for 5 days. Vasoepididymostomy to the Head of the Epididymis: Recovery of Normal Spermatozoal Motility. (PDF, 3 MB)Fertility and Sterility, 1980.

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About 10% to 15% of couples will not be able to achieve pregnancy after one year of unprotected intercourse. 10 Data Sources: A PubMed search was completed using the key terms infertility, subfertility, treatment, etiology, and diagnosis. Compensatory and Obligatory Renal Growth in Rats. (PDF, 1 MB) American Journal of Physiology, 1974. Hysteroscopy can also be combined with laparoscopy when necessary. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Ovarian hyperstimulation syndrome (OHSS) usually results from taking medications to stimulate the ovaries, such as clomifene and gonadotrophins. On Regenerating the Ovary and Generating Controversy. (PDF, 37 KB) Cell, 2005. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. 0 mm flexible plastic tube is inserted into the uterine cavity through the cervix and a small piece of endometrial tissue is sampled using suction. The Treatment of Azoospermia with Surgery and ICSI. (PDF, 4 MB) Chapter 10 from Male Fertility & Infertility, 1998.