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Paternal age > or = 40 years: an important risk factor for infertility. Sperm production problems One of the most common causes of male infertility is problems with sperm production. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. Microsurgery in Clinical Urology. (PDF, 5 MB) Urology, 1975.

In these methods, fertilization occurs inside the body. Varicocele The veins in a man’s scrotum (sac) can become too large. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. Women in group III can conceive only with oocyte donation and in vitro fertilization.

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For example; a woman who has no history suggestive of previous pelvic inflammatory disease or endometriosis, there is no justification to request a laparoscopy especially after normal hysterosalpingography study [33]. ICSI with Epididymal and Testicular Sperm in Azoospermic Men. (PDF, 2 MB) From Treatment of Infertility: The New Frontiers, 1998.

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Varicocele A varicocele is a dilation of the veins of the pampiniform plexus of the scrotum. It varies with the age (the optimal female age is between 23 and 39 years) and with body weight (the ideal body mass index is between 19 and 30). Medical treatments[edit] Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following. GnRH travels down the portal system to the anterior pituitary, located on a stalk in the sella turcica, to stimulate the release of the gonadotropins, luteinizing hormone (LH), and follicle-stimulating hormone (FSH).

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Optimizing natural fertility: a committee opinion. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Chronic conditions: These include AIDS or cancer. Histologic endometrial dating is not considered reliable nor is it predictive of fertility. An on-line WHO infertility virtual consultation course includes a 5 module WHO evidence-based medicine course, as well as a 16 module ASRM eLearning course which reviews the evidence-base for the basic diagnosis of the infertile male and female, coupled with management and treatment. Thyroid problems: An overactive or underactive thyroid gland can lead to a hormonal imbalance. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs. In this regard, keyhole surgery can be a disadvantage.[23] Risks[edit] Some of the risks are briefly described below: The most significant risks are from trocar injuries during insertion into the abdominal cavity, as the trocar is typically inserted blindly. For instance, women with hyper or hypo-thyroidism sometimes have ovulation problems. For women, being underweight and having extremely low amounts of body fat are associated with ovarian dysfunction and infertility and they have a higher risk for preterm birth. Thus women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility. (Trends in prevalence4). Endometriosis may be treated through laparoscopic surgery.