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To ascertain a more precise assessment, a hysteroscopy of the uterus is run. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap.

Endometriosis can be treated with hormones that suppress the displaced endometrial tissue or the tissue can be removed by a surgical procedure. In 1985, he constructed the pelvi-trainer = laparo-trainer, a practical surgical model whereby colleagues could practice laparoscopic techniques. Treatment[edit] Treatment depends on the cause of infertility, but may include counselling, fertility treatments, which include in vitro fertilization.

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Further backup measures are sufficient thrombosis prophylaxis with heparin and the support of the renal function. Tests such as semen analysis, hormone testing, transrectal and scrotal ultrasound may also be performed. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production.

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Some methods may be used in concert with other methods. The patients are classified as WHO1 (15%) - hypo-gonadotropic, hypo-estrogenic, WHO2 (80%) - normo-gonadotropic, normo-estrogenic, and WHO3 (5%) - hyper-gonadotropic, hypo-estrogenic.

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If the sperm do not have the right shape, or they cannot travel rapidly and accurately towards the egg, conception may be difficult. Gonadotropins are available in the form of human menopausal gonadotropin (HMG) derived from the urine of postmenopausal women. However, some have suggested that patients should avoid conception for 6 months to 2 years after completion of radiation therapy because of the possibility of chromosomal aberrations in their sperm caused by the mutagenic properties of radiation therapy. In OB-GYN residency programs, the average laparoscopy-to-laparotomy quotient (LPQ) is 0.