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Careful monitoring during treatment and pregnancy can help reduce the risk of complications. The treating doctor may feel inadequacy and the trust between the doctor and patient breaks down [43]. Electric or vibratory stimulation to achieve ejaculation: Ejaculation is achieved with electric or vibratory stimulation.

The key element is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed.

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The effect of age upon men's fertility is less clear.[citation needed] In people going forward for IVF in the UK, roughly half of fertility problems with a diagnosed cause are due to problems with the man, and about half due to problems with the woman. Gerrits T, Shaw M (2010). "Biomedical infertility care in sub-Saharan Africa: a social science review of current practices, experiences and view points". Male infertility is defined as a male’s inability to cause a pregnancy after having regular intercourse (sex) with a fertile female without birth control for one year. Isolated FSH deficiency This is a very rare cause of infertility. 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. 389 KB ARTICLES FROM THE 1980s Microsurgical Reversal of Female Sterilization: The Role of Tubal Length. (PDF, 2 MB) Fertility and Sterility, 1980.

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Etiologies include cysts (midline and eccentric), ductal calcification and stones, postinfectious, and postoperative. Vasectomy. (PDF, 5 MB) From the Encyclopedia of Reproduction, 1999. Treatment of the Normal Infertile Couple The prognosis for the normal infertile couple is poor and unpredictable. Hypospadias: The urethral opening is under the penis, instead of its tip. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance. Cortical deficiency may be seen in patients with adrenal failure due to infection, infarction, or congenital adrenal hyperplasia (CAH).

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We generally recommend seeking the help of a reproductive endocrinologist if conception has not occurred within 12 months. This can be related to hormone issues, or to polycystic ovarian syndrome (PCOS). In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Success rates reported by various practices that offer ICSI range from 15% to 30% per egg retrieval. Around one third of couples have difficulty conceiving due to a low sperm count. As in the case of sterility, the process will get under way right away in those cases where there is a background of reproduction issues.