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Endometriosis may be treated through laparoscopic surgery. 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. Women in group II include those with polycystic ovary syndrome and hyperprolactinemia. Varicocele: Surgically removing a varicose vein in the scrotum may help.

As treatment begins, couples may experience cycles of optimism and despair with each passing menstrual cycle. The physician or WHNP may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor or WHNP introduces sperm into the uterus during ovulation, via a catheter. Judaism and Reproductive Technology. (PDF, 2 MB) 2010. This can damage the ovaries or fallopian tubes and cause fertility problems. Fimbrial phimosis and periadnexal disease can be treated with laparoscopy. [134, 135, 136, 137, 138] The pregnancy rate after salpingolysis is 50-60% during the first year after treatment.

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Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. Apparently there are only 0,014% of them (this could be an explanation of why they were not discovered until now).

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Treatment of Male-factor Infertility. (PDF, 10 MB) Chapter 9 from Progress in Infertility, 1993. This procedure is done by ultrasound guidance when the surgeon utilizes a narrow needle to retrieve eggs from the ovary through the vaginal wall.

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Seminoma Discovered in Two Males Undergoing Successful Testicular Sperm Extraction for Intracytoplasmic Sperm Injection. (PDF, 807 KB) Human Reproduction, 1995. If a woman has an ovulation disorder, she may ovulate infrequently or not all. National Collaborating Centre for Women's and Children's Health. Estrous cycle abnormalities can cause infertility. Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling. When this is not the case, a couple facing male infertility may turn to a sperm donor or adoption to help build their family. Several methods are available to detect antisperm antibodies, such as radioimmunoassay and enzyme-linked immunosorbent assay, but the most specific test is the immunobead test.