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8 Intrauterine insemination and ovulation induction do not result in increased pregnancy rates in women with unexplained infertility. Fertilizing Capacity of Epididymal and Testicular Sperm with ICSI. (PDF, 5 MB) Frontiers in Endocrinology, 1995. Endometriosis can only be confirmed by surgery, usually laparoscopy.

0 (A) The zona pellucida was drilled using piezo pulses, and the pipette was inserted deep into the oocyte and a single piezo pulse was applied. Pregnancy after Vasovasostomy for Vasectomy Reversal: A Study of Factors Followed for 10 Years. (PDF, 3 MB)Human Reproduction, 1989. Delayed conception and active and passive smoking. Many countries have special frameworks for dealing with the ethical and social issues around fertility treatment.

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Preliminary Tests of a New Reversible Male Contraceptive in Bush Dog, Speothos Venaticus: Open-ended Vasectomy and Microscopic Reversal. (PDF, 106 KB) Journal of Zoo and Wildlife, 2006. This produces a sensation of pain that may extend to the patient's shoulders.

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It is further sub-divided into primary and secondary sterility. Radiation therapy: If this is aimed near the reproductive organs, it can increase the risk of fertility problems. This technique is called hand-assist laparoscopy. The laboratory evaluation begins with a semen analysis. She will also undergo a gynecologic examination and a number of tests: Laparoscopy involves inserting a thin tube with a camera on to investigate and possibly remove unwanted tissue.

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Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. Practice Committee of American Society for Reproductive Medicine. Fertility Evaluation of the Female Partner: Evidence of Ovulation There are a variety of tests to check if and when the woman is ovulating. 25 Women with no clear risk of tubal obstruction should be offered hysterosalpingography to screen for tubal occlusion and structural uterine abnormalities. 24 Other tests of ovarian reserve, such as the clomiphene (Clomid) challenge test, antral follicle count, and antimüllerian hormone level, are also generally performed to predict response to ovarian stimulation with exogenous gonadotropins and assisted reproductive technology. Medication. If you have ovulation problems, you may be prescribed drugs such as clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon and Pregnyl), or letrozole. Reduced fecundability in women with prenatal exposure to cigarette smoking. Sterilisation Some women choose to be sterilised if they don't want to have any more children.