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The 2 techniques are the Strassman metroplasty and the Jones metroplasty. A routine part of the initial evaluation is testing of specific serum hormone levels, which usually includes FSH, LH, testosterone, and prolactin. In addition, if a man’s sperm do not move correctly, they may not be able to meet with and fertilize an egg. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling.

It works in the following way: Clomiphene is an anti-estrogen. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. Microsurgical Solutions to Male Infertility. (PDF, 2 MB) Contemporary OB/GYN, 2005. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. However, in our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. ARTICLES FROM THE 1990s Microsurgery, Andrology, and Its Role in IVF. (PDF, 6 MB) Chapter in text book, Advances in Assisted Reproductive Technology, 1990.

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A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility. Afterward, radiographs are taken and the contrast material can be seen in the abdominal cavity if the tubes are pervious. VITRIKAS, MD, David Grant Medical Center Family Medicine Residency, Travis Air Force Base, California Am Fam Physician. 2015 Mar 1;91(5):308-314.   Patient information: See related handout on infertility, written by the authors of this article.   Related letter: Natural Procreative Technology for Treating Infertility This clinical content conforms to AAFP criteria for continuing medical education (CME). Post-testicular causes of infertility Post-testicular causes of infertility include problems with sperm transportation through the ductal system, either congenital or acquired. Frequency of intercourse Probability of conception (within 6 months) 1 time per week 17 % 3 times per week 50 % 6. The doctor may ask about the couple's sexual habits and make recommendations regarding these.

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Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse. Microscopic Technique for Reversal of Vasectomy. (PDF, 3 MB) Surgery, gynecology & obstetrics, 1976. With this treatment, the patient experience spermatogenesis, and therefore, it has the chance to have offspring if he wants to. Controversies in OB/GYN: Is Varicocelectomy Useful for Treatment of Male-factor Infertility? (PDF, 4 MB)Contemporary OB/GYN, 2001.

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Endometriosis  Endometriosis is a condition where the inner lining of the uterus, known as the endometrium, attaches and grows in other areas. Obese women have a higher rate of recurrent, early miscarriage compared to non-obese women. It usually involves treatment implication counselling, emotional support counselling, and therapeutic counselling [38,39]. The test is rated positively when motile sperm can be proved in the mucus. Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. This whole process hinges on there being proper levels of testosterone and other hormones as well as correct signaling from the nervous system. Also attached is a fiber optic cable system connected to a "cold" light source (halogen or xenon), to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula or trocar. Additionally, there is concern that the stress of a strict schedule for intercourse may lead to reduced frequency of intercourse.


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Nice Infertility Algorithm
Unexplained Infertility Chance
Infertility Nursing Diagnosis