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Government, the Department of Defense, or the Department of the Air Force. As part of the fertility evaluation, we will perform an HSG, a test designed to evaluate if the fallopian tubes are open. Quantitative Analysis of Testicle Biopsy: Determination of Partial Obstruction and Prediction of Sperm Count after Surgery for Obstruction. (PDF, 4 MB) Fertility and Sterility, 1981.

Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. 22 Treatment of Male Infertility Jump to section + Underlying etiology determines the therapeutic course, although male infertility is unexplained in 40% to 50% of cases.

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Those with a varicocele diagnosable only on scrotal ultrasonography have subclinical varicoceles and will likely not benefit from repair. Ejaculatory Incompetence: This rare psychological condition prevents men from ejaculating during sexual intercourse even though they can ejaculate normally through masturbation.  This condition sometimes responds well to behavioral therapy; if this technique does not work, artificial insemination can be employed using an ejaculate from masturbation.Continued Hysteroscopy . In this procedure, your doctor places a hysteroscope into your uterus through your cervix. Many uterine and tubal abnormalities detected by the HSG can be surgically corrected. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995.

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Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages. Endometrial biopsy should be performed only in women with suspected pathology (chronic endometritis or neoplasia).

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If you and your partner agree, extra embryos can be frozen and saved to use later. 8. Prescribed, over-the-counter and recreational drug use Occupation Tight underwear - There is an association between elevated scrotal temperature and reduced semen quality Complementary therapy: - No evidence supporting any. There may be testicular malformations, hormone imbalance, or blockage of the man's duct system. The use of surgical humidification therapy, which is the use of heated and humidified CO2 for insufflation, has been shown to reduce this risk.[27] Many patients with existing pulmonary disorders may not tolerate pneumoperitoneum (gas in the abdominal cavity), resulting in a need for conversion to open surgery after the initial attempt at laparoscopic approach. Successful Vitrification of Bovine and Human Ovarian Tissue. (PDF, 3 MB) Reproductive BioMedicine Online, 2009. They can also carry out some basic tests on both partners to see if there is an identifiable reason for not having achieved a pregnancy. Irregular ovulation can be due to many issues, including polycystic ovary syndrome (PCOS), obesity, being underweight, and thyroid issues. Editorial: The Cure and Proliferation of Male Infertility. (PDF, 2 MB) The Journal of Urology, 1998.