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As new technology becomes available, fertility treatment is now accessible to more people, and success rates and safety are improving all the time. Learn what factors can influence your fertility and whether to consider seeking medical help.

However, medical treatment can be used to reduce the myoma size prior to removal. Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Opinion: Microsurgical TESE and the Distribution of Spermatogenesis in Non-obstructive Azoospermia. (PDF, 5 MB)Human Reproduction, 2000. 8  A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in Table 2. They can interfere with implantation or block the fallopian tube, preventing sperm from fertilizing the egg. Smoking: Smoking significantly increases the risk of infertility in both men and women, and it may undermine the effects of fertility treatment.

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For intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection procedures, the removal of certain components of the ejaculate (ie, seminal fluid, excess cellular debris, leukocytes, morphologically abnormal sperm) with the retention of the motile fraction of sperm is desirable. Treatment of the cause: 23. Ovulation disorders: The WHO classifies ovulation disorders into 3 groups: 1. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options.

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Types of Infertility There are two types of infertility: primary and secondary. The epididymis is a coil-like structure in the testicles which helps store and transport sperm. Microsurgical Epididymal Sperm Aspiration and Assisted Reproductive Techniques. (PDF, 4 MB) Frontiers in Human Reproduction, 1991. Enzymatic Digestion of Testicular Tissue May Rescue the Intracytoplasmic Sperm Injection Cycle in Some Patients with Non-obstructive Azoospermia. (PDF, 66 KB) Human Reproduction, 1998. Sperm retrieval for azoospermia and intracytoplasmic sperm injection success rates – A personal overview. (PDF, 1 MB) Human Fertility, 2010.

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For unknown reasons, as women age, egg numbers decrease at a rapid rate. The Effect of Female Age and Ovarian Reserve on Pregnancy Rate in Male Infertility: Treatment of Azoospermia with Sperm Retrieval and Intracytoplasmic Sperm Injection. (PDF, 66 KB) Human Reproduction, 1997. Because 85% of couples conceive spontaneously within 12 months if having intercourse regularly,5 it is important to identify those who will benefit from infertility evaluation. Some of the features include: Visual magnification — use of a large viewing screen improves visibility Stabilization — Electromechanical damping of vibrations, due to machinery or shaky human hands Simulators — use of specialized virtual reality training tools to improve physicians' proficiency in surgery [33] Reduced number of incisions There has been a distinct lack of disclosure regarding nano-scale developments in keyhole surgery and remote medicine, a "disparity of disclosure" which does not correlate with the rapid advancements in both the medical and nanotechnology fields over the last two decades.[citation needed] Robotic surgery has been touted as a solution to underdeveloped nations, whereby a single central hospital can operate several remote machines at distant locations. If necessary, they refer patients to a fertility clinic or local hospital for more specialized tests. It is important to tell a doctor if excessive mental and emotional stress develop. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Inhibin B levels have been reported to decrease with increasing weight, which results in decreased Sertoli cells and sperm production. Treatment of the cause: 30. Unexplained infertility: - Ovarian stimulation should not be considered as does not improve pregnancy or birth rates. - Advise to try to conceive for two years of unprotected sexual intercourse before other options. - After two years of failure to conceive, consider IVF/ICSI. A woman comes to your consultation-hour and you diagnose an ovarian hyperstimulation syndrome. These include: age smoking tobacco or marijuana drinking alcohol history of sexually transmitted infections stress poor diet When to see a doctor Anyone experiencing signs of infertility and who has been trying to conceive for more than a year (or 6 months if older than 35 years of age) may want to speak to a doctor for a thorough diagnosis. Reversal of Vasectomy and the Treatment of Male Infertility. (PDF, 4 MB) Urologic Clinics of North America, 1981.